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NPI Code Detail

MEDICARE: DIALYSIS ASSOCIATES

MEDICARE: DIALYSIS ASSOCIATES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RN0300XNephrology Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
100N144OTHERTXBCBS
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1346250446
Entity Type Code : Organization
Provider Name (Legal Business Name) : DIALYSIS ASSOCIATES
Provider Business Mailing Address
First Line : 2221 8TH AVE
Second Line :
City : FORT WORTH
State : TX
Zip : 76110-1812
Country : US
Telephone Number : 817-336-5060
Fax Number : 817-336-1744
Provider Business Practice Location Address
First Line : 2221 8TH AVE
Second Line :
City : FORT WORTH
State : TX
Zip : 76110-1812
Country : US
Telephone Number : 817-336-5060
Fax Number : 817-336-1744
Authorized Official
Title or Position : ADMINISTRATIVE ASSISTANT
Name : DEBBIE M MITZMAN
Credential :
Telephone Number : 817-289-7202
Provider Enumeration Date : 08/09/2006
Last Update Date : 03/22/2021

Similar Medicare Providers

1245277490 — SANDEEP SINGH M.D.
Practice Location Address:
2221 8TH AVE
FORT WORTH, TX
76110-1812
Practice Phone: 817-336-5060
Practice Fax: 817-336-1744
1790727329 — SANDEEP K SHORI DO
Practice Location Address:
2221 8TH AVE
FORT WORTH, TX
76110-1812
Practice Phone: 817-336-5060
Practice Fax: 817-336-1744
1679517569 — SHANE W KENNEDY MD
Practice Location Address:
2221 8TH AVE
FORT WORTH, TX
76110-1812
Practice Phone: 817-336-5060
Practice Fax: 817-336-1744
1801830716 — ABDUL HAFEEZ MD
Practice Location Address:
2221 8TH AVE
FORT WORTH, TX
76110-1812
Practice Phone: 817-336-5060
Practice Fax: 817-336-1744
1215158787 — RAJ RAGHUNATH HALKER M.D.
Practice Location Address:
2221 8TH AVE
FORT WORTH, TX
76110-1812
Practice Phone: 817-336-5060
Practice Fax: 817-336-1744
1376722009 — SHEA RYAN HOLT M.D.
Practice Location Address:
2221 8TH AVE
FORT WORTH, TX
76110-1812
Practice Phone: 817-336-5060
Practice Fax: 817-336-1744

Directions to “DIALYSIS ASSOCIATES ” Practice Location

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