Clinical Nephrology Assoc

NPI #1194111443 in Fort Worth, Texas

Provider Information

NPI Number: 1194111443
Entity Type: Organization
Organization Name: Clinical Nephrology Assoc
Primary Specialty: Specialist
Enumeration Date: Apr 14, 2015
Last Updated: Apr 14, 2015

Practice Location

Address: 1700 MISTLETOE BLVD
City: Fort Worth
State: Texas
ZIP Code: 76104-4042
Phone: (817) 923-8050

Authorized Official

Name: DR. JACK ORRIN GRATCH, DO
Title: OWNER
Phone: (817) 923-8050

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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