Healthcare Provider Details

I. General information

NPI: 1275592636
Provider Name (Legal Business Name): RENCARE LTD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/22/2006
Last Update Date: 03/07/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3202 AVENUE G
HONDO TX
78861-3522
US

IV. Provider business mailing address

3202 AVENUE G
HONDO TX
78861-3522
US

V. Phone/Fax

Practice location:
  • Phone: 830-426-3843
  • Fax: 830-426-2239
Mailing address:
  • Phone: 830-426-3843
  • Fax: 830-426-2239

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QE0700X
TaxonomyEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center
License Number007311
License Number StateTX

VIII. Authorized Official

Name: THOMAS L WEINBERG
Title or Position: VP, GENERAL COUNSEL
Credential:
Phone: 972-367-6010