Organization Name: | USRC PLANO LLC |
NPI Number: | 1013272194 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | THOMAS L. WEINBERG (AUTHORIZED OFFICIAL) |
Mailing Address: | 4108 W 15th St Ste 100 Plano |
State: | TX US |
Postal Code: | 750935849 |
Phone Number: | 4692090355 |
Fax Number: | 4692090925 |
NPI Enumeration Date: | 07/05/2012 |
NPI Last Update Date: | 05/13/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QE0700X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | End-Stage Renal Disease (ESRD) Treatment |
Taxonomy Definition: |