USRC EAGLE PASS LLC NPI 1700846862

NPI Information

NPI: 1700846862
Provider Name: USRC EAGLE PASS LLC
Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

CLIA Number: 45D1048251

Address:
3307 BOB ROGERS DR
EAGLE PASS, TX
ZIP 78852
Phone: (830) 773-8878
Get Directions

USRC EAGLE PASS LLC is an end-stage renal disease (esrd) treatment clinic center in Eagle Pass, TX. USRC EAGLE PASS LLC NPI is 1700846862. The provider is registered as an organization entity type.

The provider's business location address is:

3307 BOB ROGERS DR
EAGLE PASS, TX
ZIP 78852-781
Phone: (830) 773-8878

The provider's authorized official is Thomas L Weinberg .
The authorized official title is Vice President General Consel and has the following contact phone number (214) 736-2700.

The CLIA number assigned to this NPI record is 45D1048251 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/24/2006 and was last updated on 3/17/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QE0700X	Clinic/Center	End-Stage Renal Disease (ESRD) Treatment	008305	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	178506501	MEDICAID	TEXAS
2	178506502	MEDICAID	TEXAS
3	HH005Y	OTHER	TEXAS	BCBS
4	019740	OTHER	TEXAS	KIDNEY HEALTH CARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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