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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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