Ntkc Management, LLC
Internal Medicine, Nephrology in Fort Worth, TX. Organization (NPI-2).
Details
- NPI
- 1457543902
- Entity type
- Organization (NPI-2)
- Legal business name
- Ntkc Management, LLC
- Organization subpart
- No
- Enumeration date
- Aug 17, 2007
- Last updated
- Aug 17, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RN0300X | Internal Medicine, Nephrology | – | – | Yes |
Other names
- North Texas Kidney Consultants (Doing Business As)
Practice location
1049 Clifton StFort Worth, TX 76107-2628
Phone 817-870-9941 · Fax 817-870-0044
Mailing address
3030 Matlock RdSuite 205
Arlington, TX 76015-2935
Phone 817-375-0610 · Fax 817-375-0640
Authorized official
Dan Baccus
Chief Operating Officer
8173750610
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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