USRC BRYANT IRVIN LLC NPI 1528480837

NPI Information

USRC BRYANT IRVIN, LLC is an end-stage renal disease (esrd) treatment clinic center in Fort Worth, TX. USRC BRYANT IRVIN, LLC NPI is 1528480837. The provider is registered as an organization entity type.
The provider Is Doing Business As U.s. Renal Care Tarrant Diaysis Bryant Irvin.

The provider's business location address is:

5729 BRYANT IRVIN RD
FORT WORTH, TX
ZIP 76132
Phone: (682) 224-7635
Fax: (817) 423-8236

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

The CLIA number assigned to this NPI record is 45D2071664 - end stage renal disease dialysis with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/7/2014 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:

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