Organization
NTKC MANAGEMENT, LLC
Active
Other names
North Texas Kidney Consultants
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAN BACCUS (CHIEF OPERATING OFFICER)
(817) 375-0610
Entity
Organization
Contact information
Practice address
1601 LANCASTER DR, SUITE 20C, GRAPEVINE, TX 76051-2109
(817) 375-0610
Mailing address
3030 MATLOCK RD, SUITE 205, ARLINGTON, TX 76015-2935
(817) 375-0610
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Enumeration date
10/24/2008
Last updated
10/24/2008
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