Dallas Renal Group Pa

LBN: Dallas Renal Group Pa
Dallas Renal Group Pa is an health care organization with primary practice located at 3571 W Wheatland Rd Suite 101, Dallas TX 75237-3461. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as the primary health care specialty. Dallas Renal Group Pa can be contacted via phone (972) 274-5555, or through Chimata, Yugandhar via phone (972) 274-5555.

Contact Information

Primary practice address
3571 W Wheatland Rd Suite 101 Dallas TX 75237-3461
Fax: (972) 274-5663
Website:
Authorized official contact:
Name: Chimata, Yugandhar Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X L7332 Texas

Profile Details

NPI number 1629186168
LBN Legal business name Dallas Renal Group Pa
DBA Doing business as
Authorized official Chimata, Yugandhar Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 25th, 2006
Last updated Mar 11th, 2015 - about 10 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 1629186168 NPPES
Texas MEDICAID 173547401
Texas MEDICAID 173547402

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