TDC-BEDFORD DIALYSIS CLINIC LLC (NPI# 1588190938) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588190938 |
| Entity Type | Organization |
| Organization Name | TDC-BEDFORD DIALYSIS CLINIC LLC |
| Practice Address |
725 N Industrial Blvd Ste 100 Bedford TX 76021 |
| Mailing Address |
1000 W Cannon St Fort Worth TX 76104-3029 |
| Practice Telephone | 8173584544 |
| Practice Fax Number | 8173584551 |
| Mailing Telephone | 8177257900 |
| Mailing Fax Number | 6822071030 |
| Enumeration Date | 2017-05-04 |
| Last Update Date | 2017-08-21 |
| Authorized Official Name | KINAM C. MARTIN (CHIEF OPERATIONS OFFICER) |
| Authorized Official Telephone | 8177257900 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
Ambulatory Health Care Facilities |
| Street Address |
725 N INDUSTRIAL BLVD STE 100 |
| City | BEDFORD |
| State | TX |
| Zip Code | 76021 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396357851 | Crystal Le | Pharmacist | 4121 E Hardwood Rd, Bedford, TX 76021 | 2020-08-17 |
| 1114544095 | Morgan Sanders | Physical Therapist | 2419 Tx 121, Bedford, TX 76021 | 2020-06-26 |
| 1669938171 | Tracie Thomas | Nurse Practitioner | 3901 Airport Freeway, Suite 230, Bedford, TX 76021 | 2019-02-20 |
| 1346710928 | Bedford Pharmacy LLC | Pharmacy | 2816 Central Dr Ste 160, Bedford, TX 76021 | 2018-11-27 |
| 1861973562 | Healogix Consultants, LLC | Pharmacy | 601-1 Harwood Rd, Bedford, TX 76021 | 2018-08-22 |
| 1851870570 | Artie Lee Nolen | Licensed Vocational Nurse | 1415 Shady Ln, Bedford, TX 76021 | 2018-08-13 |
| 1821510496 | Gabriela D Driskill | Counselor | 201 E. 9th Street, Dallas, TX 76021 | 2017-07-14 |
| 1801246673 | Tamara Allen-wolf, LLC | Counselor | 2217 Martin Dr., Ste 200, Bedford, TX 76021 | 2016-06-13 |
| 1013399799 | Nirvana Dental | Clinic/Center | 3704 Cheek Sparger Road #100, Bedford, TX 76021 | 2015-06-18 |
| 1326449224 | Madeline Gail Taylor | Nurse Practitioner | 2308 Shady Grove Dr., Bedford, TX 76021 | 2014-09-10 |
| Find all providers in zip 76021 | ||||
| Taxonomy Code | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457907917 | Renal Treatment Centers - Mid-atlantic, Inc. | Clinic/Center | 570 Westgate Shopping Ctr, Bedford, VA 24523-2643 | 2019-08-12 |
| 1881195576 | Usrc West Fork LLC | Clinic/Center | 725 N. Industrial Blvd., Suite 100, Bedford, TX 76021-6134 | 2018-02-27 |
| 1528330636 | First Choice Dialysis of Bedford LLC | Clinic/Center | 9613 Lincoln Hwy Ste 103, Bedford, PA 15522-3748 | 2012-02-04 |
| 1700980570 | Bio-medical Applications of Virginia Inc | Clinic/Center | 838 Ole Turnpike Dr, Bedford, VA 24523-2410 | 2006-09-12 |
| 1659486405 | Ohio Renal Care Group, LLC | Clinic/Center | 5035 Richmond Rd, Bedford, OH 44146-1328 | 2006-08-20 |
| 1588622377 | Bio-medical Applications of Indiana, Inc. | Clinic/Center | 3253 Shawnee Dr S, Bedford, IN 47421-5277 | 2006-05-02 |
| 1255779039 | Ameri-tech Kidney Center-bedford LLC | Clinic/Center | 1600 Central Dr, Suite 130, Bedford, TX 76022-6028 | 2013-06-13 |
| 1780949560 | Total Renal Care Inc | Clinic/Center | 15 Constitution Dr, Ste 1c, Bedford, NH 03110-6002 | 2012-07-09 |
| 1861717449 | Fresenius Medical Care Roanoke Valley Dialysis, LLC | Clinic/Center | 838 Ole Turnpike Dr, Bedford, VA 24523-2410 | 2010-04-07 |
| 1952400640 | Ameri-tech Kidney Center | Clinic/Center | 1600 Central Dr, Suite 130, Bedford, TX 76022-6000 | 2006-09-21 |
| Find all providers in BEDFORD | ||||
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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.