Organization
USRC SAN BENITO DIALYSIS LTD
Active
Organization
USRC SAN BENITO DIALYSIS LTD
Active
Parent organization
US RENAL CARE INC
Other names
US Renal Care San Benito Dialysis
Organization subpart
Yes
Provider details
NPI number
Legal business name
US RENAL CARE INC
Authorized official
MR. THOMAS L. WEINBERG (SENIOR VICE-PRESIDENT/GENERAL COUNS)
(214) 736-2700
Entity
Organization
Contact information
Practice address
910 N MCCULLOUGH ST, SAN BENITO, TX 78586-0084
(956) 399-4037
(956) 399-8119
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
008215
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
018885
KIDNEY HEALTH CARE
TX
05
—
176515801
—
TX
05
—
176515802
—
TX
01
—
HH043Y
BCBS
TX
Enumeration date
12/28/2005
Last updated
01/17/2017
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