CLINICAL NEPHROLOGY ASSOCIATES, PA
NPI 1609149517
Internal Medicine - Nephrology in Trophy Club, TX

Active since February 23, 2012
2800 E HIGHWAY 114, TROPHY CLUB, TX 76262(817) 923-8050(817) 923-8832 Get Directions Write a Review

NPPES record last updated: February 23, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Internal Medicine
  • Nephrology

About CLINICAL NEPHROLOGY ASSOCIATES, PA

This page provides the complete NPI Profile along with additional information for Clinical Nephrology Associates, Pa, an internist established in Trophy Club, Texas operating as a Internal Medicine, focusing in nephrology . The healthcare provider is registered in the NPI registry with number 1609149517 assigned on February 2012. The practitioner's primary taxonomy code is 207RN0300X. The provider is registered as an organization and their NPI record was last updated 14 years ago. Clinical Nephrology Associates, Pa operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Dr. Jack O. Gratch D,o. (Ceo/owner)

NPI
1609149517 Verify this NPI
Provider Name
CLINICAL NEPHROLOGY ASSOCIATES, PA
Entity Type
Organization
Location Address
2800 E HIGHWAY 114 TROPHY CLUB, TX 76262
Location Phone
(817) 923-8050
Location Fax
(817) 923-8832
Mailing Address
PO BOX 470787 FORT WORTH, TX 76147
Mailing Phone
(817) 923-8050
Mailing Fax
(817) 923-8832
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-23-2012
Last Update Date
02-23-2012
Code Navigator

An internist like Clinical Nephrology Associates, Pa is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine Nephrology

Taxonomy Code
207RN0300X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. JACK O. GRATCH D,O.

Authorized Official Title
CEO/OWNER
Authorized Official Phone
(817) 923-8050

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Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Radiology (Radiation Oncology)
2800 E HIGHWAY 114, SUITE 100
TROPHY CLUB, TX 76262
Physical Medicine & Rehabilitation
2800 E HIGHWAY 114, SUITE 220
TROPHY CLUB, TX 76262
Physical Therapist
2800 E HIGHWAY 114, 120
TROPHY CLUB, TX 76262
Physical Therapist
2800 E HIGHWAY 114, 120
TROPHY CLUB, TX 76262

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1609149517, enumerated as an "organization" on February 23, 2012.

The provider is located at 2800 E HIGHWAY 114 TROPHY CLUB, TX 76262 and the phone number is (817) 923-8050.

Internal Medicine with taxonomy code 207RN0300X and a focus in Nephrology.