MEDICARE: FRESENIUS MEDICAL CARE EAST FORT WORTH, LLC

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
1	261QE0700X	End-Stage Renal Disease (ESRD) Treatment Clinic/Center		TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	45-2563	OTHER	TX	PTAN

General Provider Information

NPI Number	:	1780184739
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FRESENIUS MEDICAL CARE EAST FORT WORTH, LLC

Provider Business Mailing Address
First Line	:	6324 MEADOWBROOK DR
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76112-5121
Country	:	US
Telephone Number	:	817-204-6560
Fax Number	:	817-457-6873

Provider Business Practice Location Address
First Line	:	6324 MEADOWBROOK DR
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76112-5121
Country	:	US
Telephone Number	:	817-204-6560
Fax Number	:	817-457-6873

Authorized Official
Title or Position	:	VICE PRESIDENT
Name	:	BARRY L. BLANTON
Credential	:
Telephone Number	:	781-699-9000

Provider Enumeration Date	:	02/16/2018
Last Update Date	:	10/20/2023

Similar Medicare Providers

1770729386 — ACCESS DENTAL OF MEADOWBROOK
Practice Location Address:

6302 MEADOWBROOK DR , SUITE #112
FORT WORTH, TX
76112-5121

Practice Phone: 214-678-9200
Practice Fax:

1417181199 — ACCESS ORTHODONTICS OF MEADOWBROOK
Practice Location Address:

6302 MEADOWBROOK DR , SUITE #112
FORT WORTH, TX
76112-5121

Practice Phone: 817-446-0800
Practice Fax: 817-446-0802

1295960599 — DR. TU KIM NGUYEN D.D.S.
Practice Location Address:

6302 MEADOWBROOK DR
FORT WORTH, TX
76112-5121

Practice Phone: 817-446-0800
Practice Fax:

1487036687 — SECHANZ ENTERPRISES INC
Practice Location Address:

6306 MEADOWBROOK DR
FORT WORTH, TX
76112-5121

Practice Phone: 817-888-3132
Practice Fax: 817-888-3134

1649436437 — LEANNE CALLAHAN COTA
Practice Location Address:

5121 STALEY RD
FORT MYERS, FL
33905-6934

Practice Phone: 239-404-8329
Practice Fax:

1891130787 — WALT NOBLE INC.
Practice Location Address:

5121 NE 19TH AVE
FORT LAUDERDALE, FL
33308-3712

Practice Phone: 954-491-4041
Practice Fax: 954-772-4657

Directions to “FRESENIUS MEDICAL CARE EAST FORT WORTH, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.