institution
Usrc Sa Tri County Llc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Lytle, Texas
NPI 1477512895

Usrc Sa Tri County Llc is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Plano, TX and is specialized in End-Stage Renal Disease (ESRD) Treatment. Usrc Sa Tri County Llc practices in Lytle, TX. The NPI Number for Usrc Sa Tri County Llc is 1477512895 and holds a License No. 008135 (Texas).

The current practice location address for Usrc Sa Tri County Llc is 19910 Interstate 35 S Ste 101, Lytle, TX and can be reached out via phone at 830-772-5784.

Location: 19910 Interstate 35 S Ste 101, Lytle, TX, 75025-1500
institution
Provider Profile Details
NPI Number
1477512895
Provider Name
Usrc Sa Tri County Llc
Credential
Provider Entity Type
Organization
Address
19910 Interstate 35 S Ste 101, Lytle, TX, 75025-1500
Phone Number
830-772-5784
Fax Number
Provider Enumeration Date
03/23/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
171298602 05 TX
HH6475 01 TX BCBS
018153 01 TX KIDNEY HEALTH CARE
171298601 05 TX
institution
Provider Business Practice Location Address Details
Address
19910 Interstate 35 S Ste 101
City
State
Zip
78052-3547
Phone Number
830-772-5784
Fax Number
person
Provider Business Mailing Address Details
Address
19910 Interstate 35 S Ste 101
City
State
Zip
78052-3547
Phone Number
830-772-5784
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
End-Stage Renal Disease (ESRD) Treatment
Taxonomy
License No.
008135 (Texas)
Definition
Definition to come...
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