USRC EAST FT WORTH LLC NPI 1689980419

NPI Information

USRC EAST FT WORTH LLC is an end-stage renal disease (esrd) treatment clinic center in Fort Worth, TX. USRC EAST FT WORTH LLC NPI is 1689980419. The provider is registered as an organization entity type.
The provider Is Doing Business As U.s. Renal Care Tarrant Dialysis East Fort Worth.

The provider's business location address is:

6450 BRENTWOOD STAIR RD
FORT WORTH, TX
ZIP 76112-239
Phone: (817) 888-3015
Fax: (817) 888-3021

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

The CLIA number assigned to this NPI record is 45D2019958 - end stage renal disease dialysis with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/31/2010 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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