FRESENIUS MEDICAL CARE EAST FORT WORTH LLC NPI 1780184739

NPI Information

FRESENIUS MEDICAL CARE EAST FORT WORTH, LLC is an end-stage renal disease (esrd) treatment clinic center in Fort Worth, TX. FRESENIUS MEDICAL CARE EAST FORT WORTH, LLC NPI is 1780184739. The provider is registered as an organization entity type.
The provider Is Doing Business As Fresenius Kidney Care East Fort Worth.

The provider's business location address is:

1032 SANDY LN
FORT WORTH, TX
ZIP 76120-314
Phone: (817) 429-1944
Fax: (817) 457-6873

The provider's authorized official is Barry L. Blanton .
The authorized official title is Vice President and has the following contact phone number (781) 699-9000.

The CLIA number assigned to this NPI record is 45D0896934 - end stage renal disease dialysis with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/16/2018 and was last updated on 8/27/2021.

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:

Other Identifiers

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