DDC PARTNERS LLC NPI 1134465206

NPI Information

NPI: 1134465206
Provider Name: DDC PARTNERS, LLC

Doing Business As: LIBERTY DIALYSIS - CHARLTON

Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
3571 W WHEATLAND RD
DALLAS, TX
ZIP 75237
Phone: (469) 518-5731
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DDC PARTNERS, LLC is an end-stage renal disease (esrd) treatment clinic center in Dallas, TX. DDC PARTNERS, LLC NPI is 1134465206. The provider is registered as an organization entity type.
The provider Is Doing Business As Liberty Dialysis - Charlton.

The provider's business location address is:

3571 W WHEATLAND RD
DALLAS, TX
ZIP 75237-461
Phone: (469) 518-5731

The provider's authorized official is Yugandhar Chimata .
The authorized official title is Owner and has the following contact phone number (206) 236-5001.

The CLIA number assigned to this NPI record is 02D1089823 - end stage renal disease dialysis with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/18/2012 and was last updated on 1/11/2016.

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
1	261QE0700X	Clinic/Center	End-Stage Renal Disease (ESRD) Treatment			Yes

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
1	347807501	MEDICAID	TEXAS
2	672751	MEDICARE OSCAR/CERTIFICATION

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: 11/14/2023

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