| North Texas Kidney Consultants | |
|
3030 Matlock Rd Suite 205 Arlington TX 75243 | |
| (817) 375-0610 | |
| (817) 375-0640 |
| Full Name | North Texas Kidney Consultants |
|---|---|
| Speciality | Internal Medicine - Nephrology |
| Location | 3030 Matlock Rd, Arlington, Texas |
| Authorized Official Name and Position | Anthony Efthim Gabriel (OWNER PRESIDENT SECRETARY TREASURER) |
| Authorized Official Contact | 8003104872 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| North Texas Kidney Consultants Po Box File #57025 Los Angeles CA 90074-0001 Ph: (800) 310-4872 | North Texas Kidney Consultants 3030 Matlock Rd Suite 205 Arlington TX 75243 Ph: (817) 375-0610 |
| NPI Number | 1134189574 |
|---|---|
| Provider Enumeration Date | 03/27/2006 |
| Last Update Date | 05/04/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134189574 | NPI | - | NPPES |
| 177068701 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 207RN0300X | Internal Medicine - Nephrology | (* (Not Available)) | Primary |
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