Organization
NORTH TEXAS RENAL CLINIC, LLC
Active
Other names
North Texas Renal Clinic, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAN MICHAEL CORPANY BS, PA,CNT (PRESIDENT)
(940) 566-2701
Entity
Organization
Contact information
Practice address
4309 MESA DR, DENTON, TX 76207-3457
(940) 566-2701
(940) 382-2558
Mailing address
4309 MESA DR, DENTON, TX 76207-3457
(940) 566-2701
(940) 382-2558
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
008212
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
008212
STATE LICENSE
TX
Enumeration date
11/23/2005
Last updated
08/22/2020
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