CLINICAL NEPHROLOGY ASSOCIATES PA NPI 1598003220

NPI Information

NPI: 1598003220
Provider Name: CLINICAL NEPHROLOGY ASSOCIATES, PA
Classification: Internal Medicine - 207RN0300X
Entity Type: Organization

Specialization: Nephrology

Address:
11797 SOUTH FWY
SUITE 226
BURLESON, TX
ZIP 76028
Phone: (817) 923-8050
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CLINICAL NEPHROLOGY ASSOCIATES, PA is a nephrology internal medicine in Burleson, 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. CLINICAL NEPHROLOGY ASSOCIATES, PA NPI is 1598003220. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

11797 SOUTH FWY
SUITE 226
BURLESON, TX
ZIP 76028-026
Phone: (817) 923-8050
Fax: (817) 923-8832

The provider's authorized official is Jack Gratch .
The authorized official title is Owner/ceo and has the following contact phone number (817) 923-8050.

The enumeration date for this NPI number is 1/31/2013 and was last updated on 1/31/2013.

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	207RN0300X	Internal Medicine	Nephrology	F8496	TEXAS	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	085155204	MEDICAID	TEXAS
2	T0017Z	MEDICARE PIN	TEXAS

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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