Clinical Nephrology Associates, PA
NPI #1609149517 in Trophy Club, Texas
Provider Information
- NPI Number
- 1609149517
- Entity Type
- Organization
- Organization Name
- Clinical Nephrology Associates, PA
- Primary Specialty
- Internal Medicine - Nephrology
- Enumeration Date
- Feb 23, 2012
- Last Updated
- Feb 23, 2012
Practice Location
- Address
- 2800 E HIGHWAY 114
- City
- Trophy Club
- State
- Texas
- ZIP Code
- 76262-5304
- Phone
- (817) 923-8050
Authorized Official
- Name
- DR. JACK O. GRATCH, D,O.
- Title
- CEO/OWNER
- Phone
- (817) 923-8050
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine - Nephrology — Nephrology |
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