Organization
RELIANT RENAL CARE - TEXAS, LLC
Active
Organization
RELIANT RENAL CARE - TEXAS, LLC
Active
Parent organization
FRESENIUS MEDICAL CARE HOLDINGS, INC.
Other names
RRC WEST FORT WORTH
Organization subpart
Yes
Provider details
NPI number
Legal business name
FRESENIUS MEDICAL CARE HOLDINGS, INC.
Authorized official
BARRY BLANTON (SVP)
(781) 699-9000
Entity
Organization
Contact information
Practice address
5601 LOCKE AVE STE 101, FORT WORTH, TX 76107-5129
(817) 886-3200
(817) 886-3199
Mailing address
5601 LOCKE AVE STE 101, FORT WORTH, TX 76107-5129
(817) 886-3200
(817) 886-3199
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
—
67-2575
PTAN
TX
Enumeration date
02/07/2007
Last updated
11/06/2024
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