USRC WEST FORT WORTH DIALYSIS LLC NPI 1407030364

NPI Information

NPI: 1407030364
Provider Name: USRC WEST FORT WORTH DIALYSIS LLC

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

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
1704 S CHERRY LN
SUITE 200
WHITE SETTLEMENT, TX
ZIP 76108
Phone: (817) 367-0822
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USRC WEST FORT WORTH DIALYSIS LLC is an end-stage renal disease (esrd) treatment clinic center in White Settlement, TX. USRC WEST FORT WORTH DIALYSIS LLC NPI is 1407030364. The provider is registered as an organization entity type.
The provider Is Doing Business As Us Renal Care Tarrant Dialysis West Fort Worth.

The provider's business location address is:

1704 S CHERRY LN
SUITE 200
WHITE SETTLEMENT, TX
ZIP 76108-629
Phone: (817) 367-0822
Fax: (817) 367-1520

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

The CLIA number assigned to this NPI record is 45D1079280 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/27/2007 and was last updated on 5/25/2022.

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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