Organization
USRC MEDINA COUNTY DIALYSIS LLC
Active
Organization
USRC MEDINA COUNTY DIALYSIS LLC
Active
Parent organization
US RENAL CARE INC
Other names
US Renal Care Medina County
Organization subpart
Yes
Provider details
NPI number
Legal business name
US RENAL CARE INC
Authorized official
THOMAS L. WEINBERG (SENIOR VICE PRESIDENT)
(214) 736-2700
Entity
Organization
Contact information
Practice address
205 22ND ST, HONDO, TX 78861-2520
(830) 426-3843
(830) 426-2239
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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
023968
KIDNEY HEALTH CARE
TX
05
—
2044356-01
—
TX
Enumeration date
04/22/2008
Last updated
09/23/2020
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