Organization Name: | USRC RIO GRANDE LP |
NPI Number: | 1346227824 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | THOMAS L. WEINBERG (SENIOR VICE-PRESIDENT/GENERAL COUNS) |
Mailing Address: | 2787 Pharmacy Rd Rio Grande City |
State: | TX US |
Postal Code: | 785826201 |
Phone Number: | 9564872929 |
Fax Number: | 9564874673 |
NPI Enumeration Date: | 12/27/2005 |
NPI Last Update Date: | 01/23/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QE0700X |
License Number: | 008202 |
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: |