North Texas Dialysis Clinic, LLC
NPI #1124001169 in Gainesville, Texas
Provider Information
- NPI Number
- 1124001169
- Entity Type
- Organization
- Organization Name
- North Texas Dialysis Clinic, LLC
- Primary Specialty
- Specialist
- Enumeration Date
- Nov 23, 2005
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 1110 E CALIFORNIA ST
- City
- Gainesville
- State
- Texas
- ZIP Code
- 76240-4206
- Phone
- (940) 612-5555
Authorized Official
- Name
- MR. DAN MICHAEL CORPANY, BS, PA, CNT
- Title
- PRESIDENT
- Phone
- (940) 566-2701
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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| Jennifer Sutton Boustead, OTR |
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| Gainesville Cancer Center | |
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