Organization
USRC TARRANT L P
Active
Organization
USRC TARRANT L P
Active
Parent organization
US RENAL CARE, INC.
Other names
USRC Tarrant Dialysis Fort Worth
Organization subpart
Yes
Provider details
NPI number
Legal business name
US RENAL CARE, INC.
Authorized official
MR. THOMAS L WEINBERG (VP, GENERAL COUNSEL)
(214) 736-2700
Entity
Organization
Contact information
Practice address
501 COLLEGE AVE, SUITE 100, FORT WORTH, TX 76104-2211
(817) 877-5907
(817) 332-6539
Mailing address
PO BOX 952074, DALLAS, TX 75395-0001
(870) 931-5400
(870) 931-5418
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
008467
TX
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
110099
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000876
KIDNEY HEALTH CARE
TX
05
—
186261701
—
TX
05
—
186261702
—
TX
01
—
HH6161
BLUE CROSS
TX
Enumeration date
05/26/2006
Last updated
11/16/2023
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