Clinical Nephrology Associates, PA

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

CLINICAL NEPHROLOGY ASSOCIATES, PA

Practice address

2800 E Highway 114
Trophy Club, TX 76262-5304

Phone

(817) 923-8050

Fax

(817) 923-8832

NPI assigned

Feb 23, 2012

Last updated

Feb 23, 2012By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jack O. Gratch, D,O.

Title

Ceo/Owner

Phone

(817) 923-8050

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1329955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329955200000",
    "number": "1609149517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 470787",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761470787",
            "telephone_number": "817-923-8050",
            "fax_number": "817-923-8832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 E HIGHWAY 114",
            "city": "TROPHY CLUB",
            "state": "TX",
            "postal_code": "762625304",
            "telephone_number": "817-923-8050",
            "fax_number": "817-923-8832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICAL NEPHROLOGY ASSOCIATES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-23",
        "last_updated": "2012-02-23",
        "status": "A",
        "authorized_official_last_name": "GRATCH",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "O.",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "817-923-8050",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D,O."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bryan John Hapka
• Jolieann Michelle Byrd, DPT
• Carolyn Carminati
• Brianna Cervantes
• Stephanie Garland Clavenna, MA, LMFT
• Concierge Medical Consultants, LLC
• Coppell Spine & Sports Rehab Limited Partnership (Therapy Partners of North Texas)
• Kayley Danielle Cowin, DPT
• Daniel Crawford
• Crescent Direct Primary Care PLLC

• Nephrology Physician in Trophy Club, TX
• Providers in Trophy Club, TX by specialty
• Nephrology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.