USRC SW FT WORTH LLC NPI 1023064623

NPI Information

USRC SW FT WORTH LLC is an end-stage renal disease (esrd) treatment clinic center in Fort Worth, TX. USRC SW FT WORTH LLC NPI is 1023064623. The provider is registered as an organization entity type.
The provider Is Doing Business As Us Renal Care Tarrant Dialysis Sw Fort Worth.

The provider's business location address is:

5127 OLD GRANBURY RD
FORT WORTH, TX
ZIP 76133-017
Phone: (817) 370-7830
Fax: (817) 370-1927

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

The CLIA number assigned to this NPI record is 45D1067029 - end stage renal disease dialysis with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/25/2006 and was last updated on 9/23/2020.

Taxonomy Codes

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