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Organization

NTKC MANAGEMENT, LLC

Active
Other names
North Texas Kidney Consultants
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DAN BACCUS (COO)
(817) 375-0610
Entity
Organization

Contact information

Practice address
3900 JUNIUS STREET, SUITE 615, DALLAS, TX 75246
(972) 388-5970
(972) 388-5971
Mailing address
3030 MATLOCK ROAD, SUITE 205, ARLINGTON, TX 76015
(817) 375-0610
(817) 375-0640

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary

Other

Enumeration date
04/01/2009
Last updated
04/01/2009
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