USRC SA BANDERA ROAD LLC NPI 1457310880

NPI Information

NPI: 1457310880
Provider Name: USRC SA BANDERA ROAD LLC

Doing Business As: US RENAL CARE BANDERA ROAD DIALYSIS

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
7831 WESTCHASE
SAN ANTONIO, TX
ZIP 78240
Phone: (210) 682-1300
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USRC SA BANDERA ROAD LLC is an end-stage renal disease (esrd) treatment clinic center in San Antonio, TX. USRC SA BANDERA ROAD LLC NPI is 1457310880. The provider is registered as an organization entity type.
The provider Is Doing Business As Us Renal Care Bandera Road Dialysis.

The provider's business location address is:

7831 WESTCHASE
SAN ANTONIO, TX
ZIP 78240-976
Phone: (210) 682-1300
Fax: (210) 682-1316

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) 736-2730.

The CLIA number assigned to this NPI record is 45D1027869 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/23/2006 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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QE0700X	Clinic/Center	End-Stage Renal Disease (ESRD) Treatment	008087	TEXAS	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	168304702	MEDICAID	TEXAS
2	017403	OTHER	TEXAS	KIDNEY HEALTH CARE
3	HH6474	OTHER	TEXAS	BCBS

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: 4/28/2024

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