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USRC TARRANT LP NPI 1386690964


NPI Information

NPI: 1386690964
Provider Name: USRC TARRANT LP

Doing Business As: US RENAL CARE TARRANT DIALYSIS TARRANT COUNTY

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

CLIA Number: 45D0659860

Address:
501 COLLEGE AVE
SUITE 200
FORT WORTH, TX
ZIP 76104
Phone: (817) 877-1515
Get Directions

USRC TARRANT LP is an end-stage renal disease (esrd) treatment clinic center in Fort Worth, TX. USRC TARRANT LP NPI is 1386690964. The provider is registered as an organization entity type.
The provider Is Doing Business As Us Renal Care Tarrant Dialysis Tarrant County.

The provider's business location address is:

501 COLLEGE AVE
SUITE 200
FORT WORTH, TX
ZIP 76104-211
Phone: (817) 877-1515
Fax: (817) 877-5100

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 45D0659860 - 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

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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QE0700XClinic/CenterEnd-Stage Renal Disease (ESRD) Treatment008466TEXASYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1022754OTHERTEXASKIDNEY HEALTH CARE (KHC)
2HH6305OTHERTEXASBLUE CROSS
3186431603MEDICAIDTEXAS
4186431604MEDICAIDTEXAS
5001562OTHERTEXASKIDNEY 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: 11/14/2023

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