Organization
USRC RIO GRANDE LLC
Active
Organization
USRC RIO GRANDE LLC
Active
Parent organization
US RENAL CARE INC
Other names
US Renal Care Rio Grande Dialysis
Organization subpart
Yes
Provider details
NPI number
Legal business name
US RENAL CARE INC
Authorized official
THOMAS L. WEINBERG (SENIOR VICE-PRESIDENT/GENERAL COUNS)
(214) 736-2700
Entity
Organization
Contact information
Practice address
2787 PHARMACY RD, RIO GRANDE CITY, TX 78582-6201
(956) 487-2929
(956) 487-4673
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
008202
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020159
KIDNEY HEALTH CARE
TX
05
—
177061201
—
TX
05
—
177061202
—
TX
01
—
HH6489
BLUE CROSS BLUE SHIELD
TX
Enumeration date
12/27/2005
Last updated
09/21/2023
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