USRC TARRANT L P NPI 1487600904

NPI Information

NPI: 1487600904
Provider Name: USRC TARRANT L P

Doing Business As: US RENAL CARE TARRANT DIALYSIS CENTRAL FORT WORTH

Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
4201 E BERRY ST STE 8
FORT WORTH, TX
ZIP 76105
Phone: (817) 531-0326
Get Directions

USRC TARRANT L P is an end-stage renal disease (esrd) treatment clinic center in Fort Worth, TX. USRC TARRANT L P NPI is 1487600904. The provider is registered as an organization entity type.
The provider Is Doing Business As Us Renal Care Tarrant Dialysis Central Fort Worth.

The provider's business location address is:

4201 E BERRY ST STE 8
FORT WORTH, TX
ZIP 76105-052
Phone: (817) 531-0326
Fax: (817) 531-0332

The provider's authorized official is Thomas L Weinberg .
The authorized official title is Coo and has the following contact phone number (214) 736-2700.

The CLIA number assigned to this NPI record is 45D0955842 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/26/2006 and was last updated on 11/16/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QE0700X	Clinic/Center	End-Stage Renal Disease (ESRD) Treatment	008457	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	186431606	MEDICAID	TEXAS
2	HH6397	OTHER	TEXAS	BLUE CROSS
3	023049	OTHER	TEXAS	KIDNEY HEALTH CARE (KHC)
4	186431607	MEDICAID	TEXAS
5	003891	OTHER	TEXAS	KIDNEY HEALTH CARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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