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
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us