Tdc-Bedford Dialysis Clinic LLC

NPI #1588190938 in Bedford, Texas

Provider Information

NPI Number: 1588190938
Entity Type: Organization
Organization Name: Tdc-Bedford Dialysis Clinic LLC
Primary Specialty: Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
Enumeration Date: May 4, 2017
Last Updated: Aug 21, 2017

Practice Location

Address: 725 N INDUSTRIAL BLVD
Address 2: STE 100
City: Bedford
State: Texas
ZIP Code: 76021
Phone: (817) 358-4544

Authorized Official

Name: KINAM C. MARTIN
Title: CHIEF OPERATIONS OFFICER
Phone: (817) 725-7900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment — End-Stage Renal Disease (ESRD) Treatment	261QE0700X	Primary

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