Organization
DIALYSIS ASSOCIATES
Active
Other names
Texas Kidney Consultants
Organization subpart
No
Provider details
NPI number
Authorized official
DEBBIE M MITZMAN (ADMINISTRATIVE ASSISTANT)
(817) 289-7202
Entity
Organization
Contact information
Practice address
2221 8TH AVE, FORT WORTH, TX 76110-1812
(817) 336-5060
(817) 336-1744
Mailing address
2221 8TH AVE, FORT WORTH, TX 76110-1812
(817) 336-5060
(817) 336-1744
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00N144
BCBS
TX
05
—
084067001
—
TX
01
—
16345B1
UNISYS MEDICAID
LA
Enumeration date
08/09/2006
Last updated
03/22/2021
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up