Clinical Nephrology Assoc

NPI 1194111443 - Specialist - 174400000X

NPI Details
NPI 1194111443
Enumeration Date 04/14/2015
Last Updated 04/14/2015
Entity Type Healthcare Provider
Active Over 1 year ago
Authorized Information
Name JACK ORRIN JACK
Position OWNER
Phone (817) 923-8050
Fax (817) 923-8832
Practice Location
1700 MISTLETOE BLVD
FORT WORTH TX, 76104-4042, US
Phone (817) 923-8050
Fax (817) 923-8832
Business Location
1700 MISTLETOE BLVD
FORT WORTH TX, 76104-4042, US
Phone (817) 923-8050
Fax (817) 923-8832
Toxanomy
Taxonomy Code 174400000X
License State Texas
License Number F8496
Remove 1194111443 NPI Number
 

According to our database, Clinical Nephrology Assoc NPI is 1194111443, taxonomy code is 174400000X and license number is F8496, license state is located at Texas. Clinical Nephrology Assoc physically located at 1700 Mistletoe Blvd, Fort Worth TX, 76104-4042. NPI Number 1033115704 has the healthcare provider type.

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1194111443 NPI number is provided on an as is basis without warranty of any kind. 1194111443 is maintained by the National Plan & Provider Enumeration System. The contents of Clinical Nephrology Assoc are for informational purposes only.