NTKC MANAGEMENT, LLC (NPI# 1063654515) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063654515 |
| Entity Type | Organization |
| Organization Name | NTKC MANAGEMENT, LLC |
| Other Organization Name | NORTH TEXAS KIDNEY CONSULTANTS |
| Practice Address |
805 Hill Blvd Suite 102 Granbury TX 76048-1481 |
| Mailing Address |
3030 Matlock Rd Suite 205 Arlington TX 76015-2935 |
| Practice Telephone | 8173750610 |
| Practice Fax Number | 8173750640 |
| Mailing Telephone | 8173750610 |
| Mailing Fax Number | 8173750640 |
| Enumeration Date | 2009-03-30 |
| Last Update Date | 2009-03-30 |
| Authorized Official Name | MR. DAN BACCUS (COO) |
| Authorized Official Telephone | 8173750610 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| North Texas Kidney Consultants | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447492756 | Ntkc Management, LLC | Internal Medicine | 3900 Junius Street, Suite 615, Dallas, TX 75246 | 2009-04-01 |
| 1457543902 | Ntkc Management, LLC | Internal Medicine | 1049 Clifton St, Fort Worth, TX 76107-2628 | 2007-08-17 |
| 1891948683 | Ntkc Management, LLC | Internal Medicine | 1601 Lancaster Dr, Suite 20c, Grapevine, TX 76051-2109 | 2008-10-24 |
| 1376735829 | Ntkc Management, LLC | Internal Medicine | 1600 W College St, Suite 410, Grapevine, TX 76051-3580 | 2007-08-17 |
| 1083806533 | Ntkc Management, LLC | Internal Medicine | 4351 Booth Calloway Rd, Suite 404, North Richland Hills, TX 76180-7378 | 2007-08-17 |
| 1740472299 | Ntkc Management, LLC | Internal Medicine | 4708 Alliance Blvd, Suite 600, Plano, TX 75093-5340 | 2007-08-17 |
| 1518159052 | Ntkc Management, LLC | Internal Medicine | 3515 Swiss Ave, Second Floor, Dallas, TX 75204-6223 | 2007-08-17 |
| 1598957037 | Ntkc Management, LLC | Internal Medicine | 530 Clara Barton Blvd, Suite 200, Garland, TX 75042-5703 | 2007-08-17 |
| 1588856033 | Ntkc Management, LLC | Internal Medicine | 601 Westpark Way, Euless, TX 76040-3972 | 2007-08-17 |
| 1790977411 | Ntkc Management, LLC | Internal Medicine | 3030 Matlock Rd, Suite 205, Arlington, TX 76015-2935 | 2007-08-16 |
| Street Address |
805 HILL BLVD SUITE 102 |
| City | GRANBURY |
| State | TX |
| Zip Code | 76048-1481 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366537482 | Robert Louis Lee | Family Medicine | 805 Hill Blvd, Ste 103, Granbury, TX 76048-1482 | 2006-10-04 |
| 1245698828 | Lauren Michelle Amburgey | Physician Assistant | 805 Hill Blvd, Suite #102, Granbury, TX 76048-1481 | 2016-02-10 |
| 1811314628 | Chad Pacanowski | Physician Assistant | 805 Hill Blvd, Suite #102, Granbury, TX 76048-1481 | 2014-03-19 |
| 1336442086 | Nucardio Heart Center | Clinic/Center | 805 Hill Blvd, Suite 106, Granbury, TX 76048-1481 | 2010-12-17 |
| 1245550839 | Depot Bay,inc | Clinic/Center | 805 Hill Blvd, Suite 106, Granbury, TX 76048-1481 | 2010-06-04 |
| 1366777625 | Ntkc-dfw, Pllc | Internal Medicine | 805 Hill Blvd, Suite 102, Granbury, TX 76048-1481 | 2009-10-05 |
| 1881850378 | Advanced Medical Enterprises Lp | Durable Medical Equipment & Medical Supplies | 805 Hill Blvd, Suite 107, Granbury, TX 76048-1481 | 2008-08-04 |
| 1396934147 | Granbury Family Med Clinic | Clinic/Center | 805 Hill Blvd, Suite 103, Granbury, TX 76048-1482 | 2007-10-17 |
| 1275720765 | Nocturna of Granbury, Lp | Clinic/Center | 805 Hill Blvd, Suite 107, Granbury, TX 76048-1481 | 2007-09-27 |
| 1184765901 | Select Physical Therapy Texas Limited Partnership | Clinic/Center | 805 Hill Blvd, Granbury, TX 76048-1481 | 2007-02-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689213415 | Tena Lee Wood I | Licensed Practical Nurse | 302 S. Crites Granbury Tx. 76048, 302 S. Crites Granbury Tx. 76048, Granbury, TX 76048 | 2019-12-26 |
| 1811456593 | Laura Nicole Graham | Counselor | 2101 West Pearl Street, Granbury, TX 76048 | 2019-03-13 |
| 1477000974 | Globalrehab - Fort Worth, Lp | Rehabilitation Hospital | 805 Hill Blve, Ste 109, Granbury, TX 76048 | 2016-09-01 |
| 1780130245 | Rachel Diane Rouse | Counselor | 1903 W Pearl Street, Granbury, TX 76048 | 2016-08-25 |
| 1477946648 | Adriana Brown | Nurse Practitioner | 805 Hill Blvd., #104, Granbury, TX 76048 | 2015-03-12 |
| 1407261233 | Rogers King Coleman | General Practice | 1411 Crawford Street, Granbury, TX 76048 | 2014-07-01 |
| 1891115176 | Trinity Nursing and Rehabilitation of Granbury, Lp | Skilled Nursing Facility | 600 Reunion Court, Granbury, TX 76048 | 2014-04-24 |
| 1639507122 | Kayelen Helton | Counselor | 807 Paluxy Road, Granbury, TX 76048 | 2013-10-22 |
| 1013257799 | Pecan Valley Mhmr Region | Counselor | 2101 W. Pearl St., Granbury, TX 76048 | 2013-02-18 |
| 1114240223 | Talbot Green Mccormick Jr. | General Practice | 2306 Cologne Dr., Granbury, TX 76048 | 2010-03-03 |
| Find all providers in zip 76048 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427450345 | Ntkc-dfw, Pllc | Internal Medicine | 1200 Crawford Ave, Suite E, Granbury, TX 76048-4561 | 2014-09-23 |
| 1124459813 | Ntkc-dfw, Pllc | Internal Medicine | 1200 Crawford Ave, Suite E, Granbury, TX 76048-4561 | 2013-12-05 |
| 1922445774 | Taryn J. Turner, Do, Pa | Internal Medicine | 1200 Crawford Ave, Suite E, Granbury, TX 76048-4561 | 2013-06-03 |
| 1366777625 | Ntkc-dfw, Pllc | Internal Medicine | 805 Hill Blvd, Suite 102, Granbury, TX 76048-1481 | 2009-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982203659 | Nephrology and Hypertension Specialists Pa | Internal Medicine | 4102 Woodlawn Ave Ste 220, Pasadena, TX 77504-1949 | 2020-10-22 |
| 1437781960 | Haus Medical Group Pllc | Internal Medicine | 1315 St Joseph Pkwy Ste 1704, Houston, TX 77002-8238 | 2020-02-12 |
| 1962040949 | Ngoc-han Thi Tran | Internal Medicine | 3295 S Cooper St Ste 119, Arlington, TX 76015-2359 | 2019-12-20 |
| 1659916617 | Heartland Physicians Associates Nephrology Pllc | Internal Medicine | 150 Pine Forest Dr Ste 501, Shenandoah, TX 77384-5304 | 2019-11-14 |
| 1578106894 | Cardiorenal Therapeutics of North Texas Pllc | Internal Medicine | 300 N Highland Ave Ste 365, Sherman, TX 75092-7393 | 2019-10-18 |
| 1639711534 | Immaculate Vascular Access Center Pllc | Internal Medicine | 349 S Helen Moore Rd Apt 6205, San Benito, TX 78586-9091 | 2019-10-11 |
| 1376193433 | Ntkc - Dfw, Pllc | Internal Medicine | 10700 Victoria Ash Dr., Keller, TX 76244 | 2019-09-19 |
| 1841849098 | Austin Kidney Care LLC | Internal Medicine | 2005 Palo Duro Rd, Austin, TX 78757-3242 | 2019-09-10 |
| 1467000828 | Ntkc-dfw, Pllc | Internal Medicine | 2220 Bryan Pl Ste 104, Midlothian, TX 76065-7127 | 2019-08-29 |
| 1306407697 | H&n Medical Investment, LLC | Internal Medicine | 4201 Medical Center Dr. Ste 240, Mckinney, TX 75069-1774 | 2019-06-26 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.