Healthcare Provider Details

I. General information

NPI: 1730291600
Provider Name (Legal Business Name): RENAL CARE GROUP TEXAS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2006
Last Update Date: 04/21/2025
Certification Date: 04/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1274 S MARKET ST
CARTHAGE TX
75633-3054
US

IV. Provider business mailing address

1274 S MARKET ST
CARTHAGE TX
75633-3054
US

V. Phone/Fax

Practice location:
  • Phone: 903-693-4511
  • Fax: 903-693-4643
Mailing address:
  • Phone: 903-693-4511
  • Fax: 903-693-4643

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QE0700X
TaxonomyEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: BARRY L. BLANTON
Title or Position: VICE PRESIDENT
Credential:
Phone: 781-676-5200