Organization
CLINICAL NEPHROLOGY ASSOCIATES, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACK O. GRATCH D,O. (CEO/OWNER)
(817) 923-8050
Entity
Organization
Contact information
Practice address
2800 E HIGHWAY 114, TROPHY CLUB, TX 76262-5304
(817) 923-8050
(817) 923-8832
Mailing address
PO BOX 470787, FORT WORTH, TX 76147-0787
(817) 923-8050
(817) 923-8832
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Enumeration date
02/23/2012
Last updated
02/23/2012
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