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Organization

FRESENIUS MEDICAL CARE EAST FORT WORTH, LLC

Active
Parent organization
FRESENIUS MEDICAL CARE HOLDINGS, INC.
Other names
FRESENIUS KIDNEY CARE EAST FORT WORTH
Organization subpart
Yes

Provider details

NPI number
Legal business name
FRESENIUS MEDICAL CARE HOLDINGS, INC.
Authorized official
BARRY L. BLANTON (VICE PRESIDENT)
(781) 699-9000
Entity
Organization

Contact information

Practice address
6324 MEADOWBROOK DR, FORT WORTH, TX 76112-5121
(817) 204-6560
(817) 457-6873
Mailing address
6324 MEADOWBROOK DR, FORT WORTH, TX 76112-5121
(817) 204-6560
(817) 457-6873

Taxonomy

Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
45-2563
PTAN
TX
Enumeration date
02/16/2018
Last updated
10/20/2023
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