Organization
USRC DELTA LP
Active
Parent organization
US RENAL CARE INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
US RENAL CARE INC
Authorized official
THOMAS L WEINBERG (SENIOR VICE PRESIDENT)
(214) 736-2700
Entity
Organization
Contact information
Practice address
400 EAST EDINBURG, ELSA, TX 78543-9800
(956) 581-8489
(956) 581-8498
Mailing address
PO BOX 19119, JONESBORO, AR 72403-6601
(870) 931-5400
(870) 931-5418
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
008419
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
021096
KIDNEY HEALTH CARE
TX
05
—
186095901
—
TX
05
—
186095902
—
TX
01
—
HH085Y
BCBS
TX
Enumeration date
07/12/2006
Last updated
01/23/2013
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