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NORTH TEXAS DIALYSIS CLINIC LLC NPI 1124001169


NPI Information

NPI: 1124001169
Provider Name: NORTH TEXAS DIALYSIS CLINIC, LLC

Other Name: NORTH TEXAS DIALYSIS CLINIC, LLC

Classification: Specialist - 174400000X
Entity Type: Organization
Address:
1110 E CALIFORNIA ST
GAINESVILLE, TX
ZIP 76240
Phone: (940) 612-5555
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NORTH TEXAS DIALYSIS CLINIC, LLC is a specialist in Gainesville, TX. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. NORTH TEXAS DIALYSIS CLINIC, LLC NPI is 1124001169. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is North Texas Dialysis Clinic, Llc.

The provider's business location address is:

1110 E CALIFORNIA ST
GAINESVILLE, TX
ZIP 76240-206
Phone: (940) 612-5555
Fax: (940) 612-0735

The provider's authorized official is Dan Michael Corpany .
The authorized official title is President and has the following contact phone number (940) 566-2701.

The enumeration date for this NPI number is 11/23/2005 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialist007258TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1007258OTHERTEXASSTATE LICENSE-ESRD FAC

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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