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USRC TARRANT LP NPI 1487600904


NPI Information

NPI: 1487600904
Provider Name: USRC TARRANT LP

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

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

CLIA Number: 45D0955842

Address:
4201 E BERRY ST STE 8
FORT WORTH, TX
ZIP 76105
Phone: (817) 531-0326
Get Directions

USRC TARRANT LP is an end-stage renal disease (esrd) treatment clinic center in Fort Worth, TX. USRC TARRANT LP NPI is 1487600904. The provider is registered as an organization entity type.
The provider Is Doing Business As Us Renal Care Tarrant Dialysis Central Fort Worth.

The provider's business location address is:

4201 E BERRY ST STE 8
FORT WORTH, TX
ZIP 76105-052
Phone: (817) 531-0326
Fax: (817) 531-0332

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

The CLIA number assigned to this NPI record is 45D0955842 - end stage renal disease dialysis with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/26/2006 and was last updated on 10/28/2013.


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) Treatment008457TEXASYes

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
1023049OTHERTEXASKIDNEY HEALTH CARE (KHC)
2003891OTHERTEXASKIDNEY HEALTH CARE
3HH6397OTHERTEXASBLUE CROSS
4186431607MEDICAIDTEXAS
5452799MEDICARE OSCAR/CERTIFICATION
6186431606MEDICAIDTEXAS

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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