USRC EAST DALLAS LLC NPI 1831681824

NPI Information

NPI: 1831681824
Provider Name: USRC EAST DALLAS, LLC

Doing Business As: LIBERTY DIALYSIS - EAST DALLAS

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
11255 GARLAND RD STE 1160
DALLAS, TX
ZIP 75218
Phone: (214) 273-2649
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USRC EAST DALLAS, LLC is an end-stage renal disease (esrd) treatment clinic center in Dallas, TX. USRC EAST DALLAS, LLC NPI is 1831681824. The provider is registered as an organization entity type.
The provider Is Doing Business As Liberty Dialysis - East Dallas.

The provider's business location address is:

11255 GARLAND RD STE 1160
DALLAS, TX
ZIP 75218-573
Phone: (214) 273-2649
Fax: (214) 273-2650

The provider's authorized official is Thomas L. Weinberg .
The authorized official title is Chairman and has the following contact phone number (214) 736-2730.

The CLIA number assigned to this NPI record is 45D2150250 - end stage renal disease dialysis with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/5/2018 and was last updated on 6/5/2018.

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			Yes

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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