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Organization

NTKC-DFW, PLLC

Active
Other names
North Texas Kidney Consultants
Organization subpart
No

Provider details

NPI number
Authorized official
DAN BACCUS (CFO)
(817) 488-6812
Entity
Organization

Contact information

Practice address
4907 S COLLINS ST STE 101, ARLINGTON, TX 76018-1157
(817) 375-0610
(817) 375-0640
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
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