Organization · Type 2 NPI
Usrc SW FT Worth LLC
End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Fort Worth, TX
NPI number
1023064623
Active
Practice location
5127 Old Granbury Rd
Fort Worth, TX 76133-2017
Fax (817) 370-1927
Mailing address
PO Box 251549
Plano, TX 75025-1500
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary | 261QE0700X | 008443 (TX) |
End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...
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About NPI 1023064623
Usrc SW FT Worth LLC's National Provider Identifier is 1023064623, issued on May 25, 2006. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Fort Worth, TX. The record was last updated on May 25, 2022.