Organization
USRC MISSION LP
Active
Organization
USRC MISSION LP
Active
Parent organization
US RENAL CARE INC
Other names
US Renal Care Mission Dialysis
Organization subpart
Yes
Provider details
NPI number
Legal business name
US RENAL CARE INC
Authorized official
MR. TOM WEINBERG (SENIOR VICE PRESIDENT)
(214) 736-2700
Entity
Organization
Contact information
Practice address
1200 ST CLAIRE BLVD, MISSION, TX 78572-6601
(956) 581-8489
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
008200
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020328
KIDNEY HEALTH CARE
TX
05
—
176975401
—
TX
05
—
176975402
—
TX
01
—
HH6487
BLUE CROSS BLUE SHIELD
TX
Enumeration date
12/27/2005
Last updated
04/22/2021
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