Organization
USRC MID VALLEY WESLACO LP
Active
Parent organization
US RENAL CARE INC
Other names
US Renal Care Mid Valley Weslaco 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
1005 S AIRPORT DR, WESLACO, TX 78596-6607
(956) 968-5806
(956) 968-6305
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
008429
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020131
KIDNEY HEALTH CARE
—
05
—
177230301
—
TX
05
—
177230302
—
TX
01
—
HH6468
BLUE CROSS BLUE SHIELD
TX
Enumeration date
12/27/2005
Last updated
10/28/2013
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