FRESENIUS MEDICAL CARE KELLER, LLC


Address: 3700 N Tarrant Pkwy, Fort Worth, TX 76177
Phone: 6823308745

FRESENIUS MEDICAL CARE KELLER, LLC (NPI# 1194296202) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1194296202
Entity Type Organization
Organization Name FRESENIUS MEDICAL CARE KELLER, LLC
Practice Address 3700 N Tarrant Pkwy
Fort Worth
TX 76177
Practice Telephone 6823308745
Mailing Telephone 6823308745
Enumeration Date 2018-12-16
Last Update Date 2018-12-16
Authorized Official Name MARK FAWCETT (SVP AND TREASURER)
Authorized Official Telephone 7816999000
Is Organization Subpart Y
Parent Organization Name FRESENIUS M.EDICAL CARE HOLDINGS, INC

Taxonomy

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

Other Provider/Organization Names

Other Name Type Code
FRESENIUS KIDNEY CARE KELLER Doing Business As Name - Organization

Office Location

Street Address 3700 N TARRANT PKWY
City FORT WORTH
State TX
Zip Code 76177

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1962877373 Home Town Dental Alliance Dentist 8901 Tehama, Suite 119, Forth Worth, TX 76177 2015-12-10
1003280686 Susan Akberzie Nurse Practitioner 3400 Texas Sage Trl Ste 148, Fort Worth, TX 76177 2015-11-19
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Taxonomy Information

Taxonomy Code 261QE0700X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization End-Stage Renal Disease (ESRD) Treatment

Taxonomy Definition

Definition to come...

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Competitor

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City FORT WORTH
Zip Code 76177

Improve Information

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Dataset Information

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.

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