Healthcare Provider Details

I. General information

NPI: 1134465206
Provider Name (Legal Business Name): DDC PARTNERS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/18/2012
Last Update Date: 07/24/2023
Certification Date: 07/24/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3571 W WHEATLAND RD
DALLAS TX
75237-3461
US

IV. Provider business mailing address

PO BOX 844631
DALLAS TX
75284-4631
US

V. Phone/Fax

Practice location:
  • Phone: 469-518-5731
  • Fax:
Mailing address:
  • Phone: 214-736-2700
  • Fax: 214-736-2701

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QE0700X
TaxonomyEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: THOMAS L. WEINBERG
Title or Position: CHAIRMAN & PRESIDENT
Credential:
Phone: 214-736-2730