Organization
USRC SA PLEASANTON ROAD LLC
Active
Parent organization
US RENAL CARE INC
Other names
US Renal Care Pleasanton Road Dialysis
Organization subpart
Yes
Provider details
NPI number
Legal business name
US RENAL CARE INC
Authorized official
MR. THOMAS L WEINBERG (VP, GENERAL COUNSEL)
(214) 736-2730
Entity
Organization
Contact information
Practice address
8119 S FLORES ST, SAN ANTONIO, TX 78221-3019
(210) 922-6255
(210) 922-6520
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
008158
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
018616
KIDNEY HEALTH CARE
TX
01
—
023110
KIDNEY HEALTH CARE (KHC)
TX
05
—
1910671-02
—
TX
01
—
HH6476
BCBS
TX
Enumeration date
03/23/2006
Last updated
09/23/2020
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