| Organization Name: | USRC AZLE LP |
| NPI Number: | 1083841530 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | THOMAS L. WEINBERG (SR. VP & GENERAL COUNSEL) |
| Mailing Address: | 605 Northwest Parkway Azle |
| State: | TX US |
| Postal Code: | 760203654 |
| Phone Number: | 8174064331 |
| Fax Number: | 8174064332 |
| NPI Enumeration Date: | 06/11/2009 |
| NPI Last Update Date: | 10/28/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QE0700X |
| License Number: | 110026 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | End-Stage Renal Disease (ESRD) Treatment |
| Taxonomy Definition: | |