Organization
USRC SA TRI COUNTY LLC
Active
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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