NTKC-DFW PLLC NPI 1386979649

NPI Information

  • NPI: 1386979649
  • Provider Name: NTKC-DFW, PLLC
  • Classification: Internal Medicine - 207RN0300X
  • Specialization: Nephrology
  • Entity Type: Organization
  • Doing Business As: NORTH TEXAS KIDNEY CONSULTANTS
  • CLIA Number: 45D2060948
  • Address: 2425 HIGHWAY 121 STE 201
    BEDFORD, TX
    ZIP 76021
  • Phone: (817) 283-5166

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NPI Details

NTKC-DFW, PLLC is a nephrology internal medicine in Bedford, TX. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. NTKC-DFW, PLLC NPI is 1386979649. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As North Texas Kidney Consultants.

The provider's business location address is:

2425 HIGHWAY 121 STE 201
BEDFORD, TX
ZIP 76021-011
Phone: (817) 283-5166
Fax: (817) 283-5176

The provider's authorized official is Dan Baccus .
The authorized official title is Cfo and has the following contact phone number (817) 488-6669.

The CLIA number assigned to this NPI record is 45D2060948 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/5/2009 and was last updated on 4/8/2022.

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
1207RN0300XInternal MedicineNephrologyYes

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
1209283502MEDICAIDTEXAS

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: 11/21/2025

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