Organization · Type 2 NPI

Usrc Keller LLC

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Fort Worth, TX

NPI number 1073959631 Active

Practice location

4420 Heritage Trace Pkwy, Suite 312
Fort Worth, TX 76244-8904

Call (817) 993-6516 Map

Fax (817) 562-4467

Mailing address

PO Box 844631
Dallas, TX 75284-4631

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...

Another provider at this address

Lean 3, LLCOrthopaedic Surgery of the Spine Physician Fort Worth, TX NPI 1811375645

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NPI record

NPI: 1073959631
Entity type: Organization (Type 2)
Issued: May 22, 2013
Last updated: May 25, 2022
Status: Active
Subpart: Yes of U.s. Renal Care, Inc.

Other names

<unavail>
U.s. Renal Care Keller Dialysis · doing business as
U.s. Renal Care Tarrant Dialysis Keller · doing business as
U.s. Renal Care Tarrant Dialysis Keller · doing business as

Authorized official

Thomas L. Weinberg
Vice President
(214) 736-2700

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1073959631

Usrc Keller LLC's National Provider Identifier is 1073959631, issued on May 22, 2013. 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.