Organization
US RENAL CARE BOERNE LLC
Active
Parent organization
US RENAL CARE INC
Other names
US Renal Care Boerne Dialysis
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
1595 S MAIN ST, SUITE 107, BOERNE, TX 78006-3329
(830) 816-3030
(830) 816-3038
Mailing address
PO BOX 19119, SUITE 350, 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
008371
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
021309
KIDNEY HEALTH CARE
TX
05
—
186101501
—
TX
05
—
186101502
—
TX
01
—
HH076Y
BCBS
TX
Enumeration date
07/13/2006
Last updated
01/23/2013
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