Organization
USRC SA TRI COUNTY LLC
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 (VP, GENERAL COUNSEL)
(214) 736-2700
Entity
Organization
Contact information
Practice address
19910 INTERSTATE 35 S STE 101, LYTLE, TX 78052-3547
(830) 772-5784
Mailing address
PO BOX 251549, PLANO, TX 75025-1500
(870) 931-5400
(870) 931-5418
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
008135
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
018153
KIDNEY HEALTH CARE
TX
05
—
171298601
—
TX
05
—
171298602
—
TX
01
—
HH6475
BCBS
TX
Enumeration date
03/23/2006
Last updated
03/17/2018
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