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Ntkc-Dfw, Pllc

Ntkc-Dfw, Pllc is a healthcare organization registered as Nephrology Physician in Granbury, TX, holding Type 2 (organization) NPI 1366777625 since 2009. The authorized official on file is Dan Baccus, Cfo.

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NPI 1366777625
Entity type Organization (Type 2)
Legal business name Ntkc-Dfw, Pllc
Other name <Unavail>
Practice address 805 HILL BLVD, SUITE 102, Granbury, TX, 76048
Phone 8172940280
Fax 8172942084
Enumeration date 2009-10-05
Last updated in NPPES 2019-06-27

Authorized official

Name Dan Baccus
Title Cfo
Phone 8174886669

Taxonomy & classification

Taxonomy code Specialty Primary License State
207RN0300X Nephrology Physician Primary

Other identifiers

Identifier Type State Issuer
208809801 Medicaid TX
Copy-ready billing details
Provider: Ntkc-Dfw, Pllc
NPI: 1366777625
Taxonomy: 207RN0300X (Nephrology Physician)
Address: 805 HILL BLVD, SUITE 102, Granbury, TX, 76048

Providers at this address

NPI Name Type Specialty Location
1184765901 Select Physical Therapy Texas Limited Partnership Organization Rehabilitation Clinic/Center Granbury, TX
1275720765 Nocturna of Granbury, Lp Organization Sleep Disorder Diagnostic Clinic/Center Granbury, TX
1881850378 Advanced Medical Enterprises Lp Organization Durable Medical Equipment & Medical Supplies Granbury, TX
1063654515 Ntkc Management, LLC Organization Nephrology Physician Granbury, TX
1245550839 Depot Bay,Inc Organization Clinic/Center Granbury, TX
1336442086 Nucardio Heart Center Organization Clinic/Center Granbury, TX
1780927152 North Central Texas Urology, Pllc Organization Urology Physician Grandbury, TX

Verify this record

Cross-check NPI 1366777625 against the authoritative CMS record: view Ntkc-Dfw, Pllc on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

What type of organization is Ntkc-Dfw, Pllc?
Ntkc-Dfw, Pllc is registered in NPPES as a Nephrology Physician (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2019-06-27.