# NORTH TEXAS RENAL SERVICES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093798035
- **Authorized official:** MR. DAN MICHAEL CORPANY BS,PA,CNT (PRESIDENT)
- **Authorized official phone:** (940) 566-2701

## Contact information

- **Practice address:** 4309 MESA DR, DENTON, TX 76207-3457
- **Practice address phone:** (940) 566-2701
- **Practice address fax:** (940) 382-2558
- **Mailing address:** 4309 MESA DR, DENTON, TX 76207-3457
- **Mailing address phone:** (940) 566-2701
- **Mailing address fax:** (940) 382-2558

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332BD1200X | Dialysis Equipment & Supplies (DME) | 0081045 | TX | Yes |

## Other

- **Enumeration date:** 11/23/2005
- **Last updated:** 08/22/2020