Organization
GADC LLC
Active
Organization
GADC LLC
Active
Parent organization
U.S. RENAL CARE, INC.
Other names
Premier Dialysis - Gaston Ave
Organization subpart
Yes
Provider details
NPI number
Legal business name
U.S. RENAL CARE, INC.
Authorized official
THOMAS L. WEINBERG (PRESIDENT & CHAIRMAN)
(214) 736-2730
Entity
Organization
Contact information
Practice address
3417 GASTON AVE STE 180, DALLAS, TX 75246-2016
(214) 736-2700
Mailing address
PO BOX 844631, DALLAS, TX 75284-4631
(214) 736-2700
(214) 736-2701
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110408
STATE LICENSURE
TX
Enumeration date
08/29/2014
Last updated
07/24/2023
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