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NPI Code Detail

MEDICARE: USRC EASLEY LLC

MEDICARE: USRC EASLEY LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QE0700XEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center

General Provider Information

NPI Number : 1508440991
Entity Type Code : Organization
Provider Name (Legal Business Name) : USRC EASLEY LLC
Provider Business Mailing Address
First Line : PO BOX 251549
Second Line :
City : PLANO
State : TX
Zip : 75025-1500
Country : US
Telephone Number : 214-736-2700
Fax Number :
Provider Business Practice Location Address
First Line : 200 E 1ST AVE
Second Line :
City : EASLEY
State : SC
Zip : 29640-3039
Country : US
Telephone Number : 864-855-6206
Fax Number :
Authorized Official
Title or Position : CHAIRMAN
Name : THOMAS L WEINBERG
Credential :
Telephone Number : 214-736-2700
Provider Enumeration Date : 05/11/2021
Last Update Date : 05/11/2021

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Directions to “USRC EASLEY LLC ” Practice Location

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