Organization
USRC TARRANT L P
Active
Parent organization
US RENAL CARE INC
Other names
USRC Tarrant Dialysis Mansfield
Organization subpart
Yes
Provider details
NPI number
Legal business name
US RENAL CARE INC
Authorized official
MR. THOMAS L WEINBERG (VP, GENERAL COUNSEL)
(214) 736-2700
Entity
Organization
Contact information
Practice address
1800 HIGHWAY 157 N STE 101, MANSFIELD, TX 76063-3930
(682) 518-0126
(682) 518-0533
Mailing address
PO BOX 952074, DALLAS, TX 75395-2074
(870) 931-5400
(870) 931-5418
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
008464
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
017939
KIDNEY HEALTH CARE
TX
01
—
023076
KIDNEY HEALTH CENTER (KHC)
TX
05
—
186431610
—
TX
05
—
186431611
—
TX
01
—
HH045Y
BLUE CROSS
TX
Enumeration date
05/26/2006
Last updated
11/16/2023
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