Organization
USRC EAGLE PASS LLC
Active
Parent organization
US RENAL CARE INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
US RENAL CARE INC
Authorized official
THOMAS L WEINBERG (VICE PRESIDENT GENERAL CONSEL)
(214) 736-2700
Entity
Organization
Contact information
Practice address
3307 BOB ROGERS DR, EAGLE PASS, TX 78852-6781
(830) 773-8878
Mailing address
PO BOX 251549, PLANO, TX 75025-1500
(214) 736-2700
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
008305
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
019740
KIDNEY HEALTH CARE
TX
05
—
178506501
—
TX
05
—
178506502
—
TX
01
—
HH005Y
BCBS
TX
Enumeration date
03/24/2006
Last updated
03/17/2018
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