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1194111443
CLINICAL NEPHROLOGY ASSOC
FORT WORTH, TX
NPI
1194111443
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Entity Type
Organization
Authorized Contact
JACK ORRIN GRATCH
Owner
817-923-8050
Organization Subpart ?
No
Primary Taxonomy
174400000X Specialist
(Licence: TX F8496)
Enumeration Date
2015-04-14
Last Update Date
2015-04-14
Business Address
CLINICAL NEPHROLOGY ASSOC
1700 MISTLETOE BLVD
FORT WORTH, TX 76104-4042
Phone number: 817-923-8050
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Mailing Address
CLINICAL NEPHROLOGY ASSOC
1700 MISTLETOE BLVD
FORT WORTH, TX 76104-4042
Phone number: 817-923-8050
Copy
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