RENAL CARE GROUP TEXAS INC. NPI 1801998224

NPI Information

NPI: 1801998224
Provider Name: RENAL CARE GROUP TEXAS, INC.

Doing Business As: SOUTHEAST TYLER DIALYSIS

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

CLIA Number: 45D1020474

Address:
3826 TROUP HWY STE L
TYLER, TX
ZIP 75703
Phone: (903) 581-5252
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RENAL CARE GROUP TEXAS, INC. is an end-stage renal disease (esrd) treatment clinic center in Tyler, TX. RENAL CARE GROUP TEXAS, INC. NPI is 1801998224. The provider is registered as an organization entity type.
The provider Is Doing Business As Southeast Tyler Dialysis.

The provider's business location address is:

3826 TROUP HWY STE L
TYLER, TX
ZIP 75703-728
Phone: (903) 581-5252
Fax: (903) 581-5222

The provider's authorized official is Barry L. Blanton .
The authorized official title is Vice President and has the following contact phone number (781) 699-9000.

The CLIA number assigned to this NPI record is 45D1020474 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/5/2006 and was last updated on 2/1/2024.

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			Yes

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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