USRC TARRANT LP NPI 1639125131

NPI Information

USRC TARRANT LP is an end-stage renal disease (esrd) treatment clinic center in Fort Worth, TX. USRC TARRANT LP NPI is 1639125131. The provider is registered as an organization entity type.
The provider Is Doing Business As Usrc Tarrant Dialysis Fort Worth.

The provider's business location address is:

501 COLLEGE AVE
SUITE 100
FORT WORTH, TX
ZIP 76104-211
Phone: (817) 877-5907
Fax: (817) 332-6539

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 45D1006232 - 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

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