Organization
NTKC-DFW, PLLC
Active
Other names
North Texas Kidney Consultants
Organization subpart
No
Provider details
NPI number
Authorized official
DAN BACCUS (CFO)
(817) 488-6669
Entity
Organization
Contact information
Practice address
2425 HIGHWAY 121 STE 201, BEDFORD, TX 76021-5083
(817) 283-5166
(817) 283-5176
Mailing address
3801 WILLIAM D TATE AVE STE 105, GRAPEVINE, TX 76051-8755
(817) 488-6812
(817) 251-1303
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
209283502
—
TX
Enumeration date
10/05/2009
Last updated
07/13/2026
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