Organization
DAVITA NEPHROLOGY MEDICAL ASSOCIATES OF CALIFORNIA INC
Active
Other names
North Texas Kidney Consultants
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTHONY EFTHIM GABRIEL MD (OWNER PRESIDENT SECRETARY TREASURER)
(800) 310-4872
Entity
Organization
Contact information
Practice address
3030 MATLOCK RD, SUITE 205, ARLINGTON, TX 75243
(817) 375-0610
(817) 375-0640
Mailing address
PO BOX FILE #57025, LOS ANGELES, CA 90074-0001
(800) 310-4872
(877) 328-4923
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RN0300X
Nephrology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
177068701
—
TX
Enumeration date
03/27/2006
Last updated
05/04/2009
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