Organization
USRC LAREDO SOUTH LP
Active
Parent organization
US RENAL CARE INC
Other names
US Renal Care Laredo South Dialysis
Organization subpart
Yes
Provider details
NPI number
Legal business name
US RENAL CARE INC
Authorized official
MR. THOMAS L WEINBERG (VP LEGAL COUNSEL)
(214) 736-2700
Entity
Organization
Contact information
Practice address
4602 BENCHA DR, LAREDO, TX 78043-9701
(956) 668-8484
(956) 668-8485
Mailing address
PO BOX 19119, JONESBORO, AR 72403-6601
(870) 931-5400
(870) 931-5418
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
008497
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
021620
KIDNEY HEALTH CARE
TX
05
—
189702701
—
TX
05
—
189702702
—
TX
01
—
HH084Y
BCBS
TX
Enumeration date
01/12/2007
Last updated
10/28/2013
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