Organization
USRC GATEWAY DIALYSIS LLC
Active
Parent organization
US RENAL CARE INC
Other names
US Renal Care Gateway Dialysis
Organization subpart
Yes
Provider details
NPI number
Legal business name
US RENAL CARE INC
Authorized official
THOMAS L WEINBERG (CHAIRMAN/AUTHORIZED OFFICIAL)
(214) 736-2700
Entity
Organization
Contact information
Practice address
230 KNOLLWOOD DR, SAN ANTONIO, TX 78227-4427
(210) 673-9200
(210) 673-9209
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
110279
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
023977
KIDNEY HEALTH CARE
TX
05
—
205239102
—
TX
Enumeration date
03/05/2008
Last updated
02/07/2017
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