Organization · Type 2 NPI

Usrc West Grand Prairie, LLC

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Grand Prairie, TX

NPI number 1043756810 Active

Practice location

4045 S Great Southwest Pkwy, Suite 100
Grand Prairie, TX 75052-3837

Call (972) 375-0028 Map

Fax (972) 375-0029

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	None listed

End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...

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NPI record

NPI: 1043756810
Entity type: Organization (Type 2)
Issued: Jan 17, 2017
Last updated: Jul 24, 2023
Status: Active
Subpart: Yes of Us Renal Care Inc

Other names

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Premier Dialysis - West Grand Prairie · doing business as

Authorized official

Thomas L Weinberg
Chairman/authorized Official
(214) 736-2700

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About NPI 1043756810

Usrc West Grand Prairie, LLC's National Provider Identifier is 1043756810, issued on Jan 17, 2017. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Grand Prairie, TX. The record was last updated on Jul 24, 2023.