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NPI Code Detail

MEDICARE: USRC KINGWOOD LP

MEDICARE: USRC KINGWOOD LP
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/Center008603TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2022923OTHERKIDNEY HEALTH CARE

General Provider Information

NPI Number : 1598975062
Entity Type Code : Organization
Provider Name (Legal Business Name) : USRC KINGWOOD LP
Provider Business Mailing Address
First Line : PO BOX 251549
Second Line :
City : PLANO
State : TX
Zip : 75025-1500
Country : US
Telephone Number :
Fax Number : 870-931-5418
Provider Business Practice Location Address
First Line : 24006 HWY 59 N
Second Line :
City : KINGWOOD
State : TX
Zip : 77339-1536
Country : US
Telephone Number : 281-312-5562
Fax Number : 281-358-3115
Authorized Official
Title or Position : CHAIRMAN & PRESIDENT
Name : MR. THOMAS L WEINBERG
Credential :
Telephone Number : 214-736-2700
Provider Enumeration Date : 05/23/2007
Last Update Date : 08/31/2023

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Directions to “USRC KINGWOOD LP ” Practice Location

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