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USRC EDINBURG LP NPI 1336126804


NPI Information

NPI: 1336126804
Provider Name: USRC EDINBURG LP

Doing Business As: US RENAL CARE MISSION DIALYSIS

Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

CLIA Number: 45D1025965

Address:
206 CONQUEST
EDINBURG, TX
ZIP 78539
Phone: (956) 383-8488
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USRC EDINBURG LP is an end-stage renal disease (esrd) treatment clinic center in Edinburg, TX. USRC EDINBURG LP NPI is 1336126804. The provider is registered as an organization entity type.
The provider Is Doing Business As Us Renal Care Mission Dialysis.

The provider's business location address is:

206 CONQUEST
EDINBURG, TX
ZIP 78539-707
Phone: (956) 383-8488
Fax: (956) 383-8489

The provider's authorized official is Tom Weinberg .
The authorized official title is Senior Vice-president/general Couns and has the following contact phone number (214) 736-2700.

The CLIA number assigned to this NPI record is 45D1025965 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/27/2005 and was last updated on 1/23/2013.


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
1261QE0700XClinic/CenterEnd-Stage Renal Disease (ESRD) Treatment008539TEXASYes

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
1452890MEDICARE OSCAR/CERTIFICATION
2177157801MEDICAIDTEXAS
3177157802MEDICAIDTEXAS
4020319OTHERTEXASKIDNEY HEALTH CARE
5HH6488OTHERTEXASBLUE CROSS BLUE SHIELD

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

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