Clinical Nephrology Associates, Pa

LBN: Clinical Nephrology Associates, Pa
Clinical Nephrology Associates, Pa is an health care organization with primary practice located at 920 Santa Fe Dr Suite 103, Weatherford TX 76086-5864. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as the primary health care specialty. Clinical Nephrology Associates, Pa can be contacted via phone (817) 923-8050, or through Gratch, Jack O via phone (817) 927-2612.

Contact Information

Primary practice address
920 Santa Fe Dr Suite 103 Weatherford TX 76086-5864
Fax: (817) 923-8832
Website:
Authorized official contact:
Name: Gratch, Jack O Doctor of Osteopathy (DO)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X

Profile Details

NPI number 1811025117
LBN Legal business name Clinical Nephrology Associates, Pa
DBA Doing business as
Authorized official Gratch, Jack O Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 1st, 2007
Last updated Sep 8th, 2011 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811025117 NPPES
Texas MEDICAID 085155203
Texas Other 00209W
Texas Other CT1051

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