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NPI Code Detail

MEDICARE: USRC EASTCHASE, LLC

MEDICARE: USRC EASTCHASE, 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 : 1649025024
Entity Type Code : Organization
Provider Name (Legal Business Name) : USRC EASTCHASE, 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 : 1451 EASTCHASE PKWY
Second Line :
City : FORT WORTH
State : TX
Zip : 76120-4403
Country : US
Telephone Number : 214-736-2700
Fax Number :
Authorized Official
Title or Position : CHAIRMAN AND PRESIDENT
Name : THOMAS L. WEINBERG
Credential :
Telephone Number : 214-736-2730
Provider Enumeration Date : 04/19/2024
Last Update Date : 04/23/2024

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Directions to “USRC EASTCHASE, LLC ” Practice Location

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