Ameri-Tech Kidney Center

Organization Active NPI End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Bedford, TX

NPI 1952400640 · NPPES record last updated Dec 3, 2013

Key facts

NPI
1952400640
Entity type
Organization (NPI type 2)
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X
License
000222 (TX)
Legal business name
AMERI-TECH KIDNEY CENTER
Practice address
1600 Central Dr
Suite 130
Bedford, TX 76022-6000
Phone
(817) 545-8044
Fax
(817) 283-0612
NPI assigned
Sep 21, 2006
Organization subpart
No

Authorized official

Name
Mr. Leif Guttormsen
Title
Administrator
Phone
(817) 265-7115

National Provider Directory

Locations

1138 S Bowen Rd
Arlington, TX 76013
Phone (817) 265-7115

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X 000222 TX Yes

Addresses

Primary practice location

1600 Central Dr
Suite 130
Bedford, TX 76022-6000

Mailing address

1138 S Bowen Rd
Arlington, TX 76013-2204
Phone (817) 265-7115

Other identifiers

IdentifierTypeStateIssuer
1127359-02MedicaidTX

Other providers in Bedford, TX

All providers in Bedford, TX · End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Texas

Sources for this page

Verify at the official NPI Registry.