Organization
DAVITA NEPHROLOGY MEDICAL ASSOCIATES OF CA, INC.
Active
Other names
North Texas Kidney Consultants
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAN BACCUS (MANAGER, PRACTICE OPERATIONS)
(817) 375-0610
Entity
Organization
Contact information
Practice address
3030 MATLOCK RD, SUITE 205, ARLINGTON, TX 76015-2935
(817) 375-0610
(817) 375-0640
Mailing address
3030 MATLOCK RD, SUITE 205, ARLINGTON, TX 76015-2935
(817) 375-0610
(817) 375-0640
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
04/19/2007
Last updated
08/22/2020
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