institution
Usrc Tarrant L P
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Fort Worth, Texas
NPI 1053367763

Usrc Tarrant L P is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Dallas, TX and is specialized in End-Stage Renal Disease (ESRD) Treatment. Usrc Tarrant L P practices in Fort Worth, TX. The NPI Number for Usrc Tarrant L P is 1053367763 and holds a License No. 008371 (Texas).

The current practice location address for Usrc Tarrant L P is 1978 Ephriham Ave, Fort Worth, TX and can be reached out via phone at 817-624-7811 and via fax at 817-624-6112. You can also correspond with Usrc Tarrant L P through the mailing address at PO BOX 952074, DALLAS, TX - 75395-2074 (mailing address contact number: 870-931-5400).

Location: 1978 Ephriham Ave, Fort Worth, TX, 75395-2074
institution
Provider Profile Details
NPI Number
1053367763
Provider Name
Usrc Tarrant L P
Credential
Provider Entity Type
Organization
Address
1978 Ephriham Ave, Fort Worth, TX, 75395-2074
Phone Number
817-624-7811
Fax Number
817-624-6112
Provider Enumeration Date
05/25/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
189731601 05 TX
023058 01 TX KIDNEY HEALTH CARE (KHC)
189731602 05 TX
012033 01 TX KIDNEY HEALTH CARE
HH6454 01 TX BLUE CROSS
institution
Provider Business Practice Location Address Details
Address
1978 Ephriham Ave
City
State
Zip
76164-6670
Phone Number
817-624-7811
Fax Number
817-624-6112
person
Provider Business Mailing Address Details
Address
1978 Ephriham Ave
City
State
Zip
76164-6670
Phone Number
817-624-7811
Fax Number
817-624-6112
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
End-Stage Renal Disease (ESRD) Treatment
Taxonomy
License No.
008371 (Texas)
Definition
Definition to come...
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