USRC TARRANT LP NPI 1053367763

NPI Information

USRC TARRANT LP is an end-stage renal disease (esrd) treatment clinic center in Fort Worth, TX. USRC TARRANT LP NPI is 1053367763. The provider is registered as an organization entity type.
The provider Is Doing Business As Usrc Tarrant Dialysis North Fort Worth.

The provider's business location address is:

1978 EPHRIHAM AVE
FORT WORTH, TX
ZIP 76164-670
Phone: (817) 624-7811
Fax: (817) 624-6112

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

The CLIA number assigned to this NPI record is 45D0992491 - 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 10/28/2013.

Taxonomy Codes

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