USRC TARRANT LP (NPI# 1053367763) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053367763 |
| Entity Type | Organization |
| Organization Name | USRC TARRANT LP |
| Other Organization Name | USRC TARRANT DIALYSIS NORTH FORT WORTH |
| Practice Address |
1978 Ephriham Ave Fort Worth TX 76164-6670 |
| Mailing Address |
Po Box 952074 Dallas TX 75395-2074 |
| Practice Telephone | 8176247811 |
| Practice Fax Number | 8176246112 |
| Mailing Telephone | 8709315400 |
| Mailing Fax Number | 8709315418 |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2013-10-28 |
| Authorized Official Name | MR. THOMAS L WEINBERG (VP, GENERAL COUNSEL) |
| Authorized Official Telephone | 2147362700 |
| Is Organization Subpart | Y |
| Parent Organization Name | US RENAL CARE INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
008371 | TX | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | KIDNEY HEALTH CARE (KHC) | 023058 | 01 |
| TX | KIDNEY HEALTH CARE | 012033 | 01 |
| TX | 189731602 | 05 | |
| TX | 189731601 | 05 | |
| TX | BLUE CROSS | HH6454 | 01 |
| Other Name | Type Code |
|---|---|
| USRC Tarrant Dialysis North Fort Worth | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568418085 | Usrc Tarrant Lp | Clinic/Center | 1006 N Carrier Pkwy, Grand Prairie, TX 75050-3301 | 2006-05-26 |
| 1942256466 | Usrc Tarrant Lp | Clinic/Center | 203 W Randol Mill Rd, Arlington, TX 76011-5857 | 2006-05-26 |
| 1487600904 | Usrc Tarrant Lp | Clinic/Center | 4201 E Berry St Ste 8, Fort Worth, TX 76105-5052 | 2006-05-26 |
| 1336195841 | Usrc Tarrant Lp | Clinic/Center | 1800 Highway 157 N Ste 101, Mansfield, TX 76063-3930 | 2006-05-26 |
| 1386690964 | Usrc Tarrant Lp | Clinic/Center | 501 College Ave, Suite 200, Fort Worth, TX 76104-2211 | 2006-05-25 |
| 1568418143 | Usrc Tarrant Lp | Clinic/Center | 12201 Bear Plaza, Burleson, TX 76028-0285 | 2006-05-25 |
| 1639125131 | Usrc Tarrant Lp | Clinic/Center | 501 College Ave, Suite 100, Fort Worth, TX 76104-2211 | 2006-05-26 |
| Street Address |
1978 EPHRIHAM AVE |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76164-6670 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225648561 | Karissa Brianna Rodriguez | Registered Nurse | 2215 Pearl Avenue, Fort Worth, TX 76164 | 2020-08-02 |
| 1972609501 | Patricia Gail Woolford | Dentist | 612 Nw 25th St, Ft Worth, TX 76164 | 2006-09-14 |
| 1215428511 | Veronica Salaices-fraire | Physician Assistant | 229 Ne 28th St, Fort Worth, TX 76164 | 2018-05-22 |
| 1831134667 | Rose S Simonian | Obstetrics & Gynecology | 2200 Ephriham Ave, Fort Worth, TX 76164-6642 | 2006-06-17 |
| 1316457278 | Jamie Renee Shields | Nurse Practitioner | 2200 Ephriham Ave, Fort Worth, TX 76164-6642 | 2017-10-05 |
| 1457448482 | Glory Lynn Windmiller | Dentist | 1966 Ephriham Ave, Fort Worth, TX 76164-6670 | 2006-10-10 |
| 1881611382 | Melissa Kurkjian Greer | Internal Medicine | 1950 Ephriham Ave, Fort Worth, TX 76164-6670 | 2006-07-17 |
| 1356898092 | Yaimi Jaramillo-ortiz | Physician Assistant | 1950 Ephriham Ave, Fort Worth, TX 76164-6670 | 2016-09-09 |
| 1700044971 | Atul M Masters | Dentist | 1612 Nw 28th St, Fort Worth, TX 76164-6843 | 2008-05-23 |
| 1447661509 | Veronica C Zapata | Specialist | 1113 Nw 25th St, Fort Worth, TX 76164-6904 | 2014-05-12 |
| Find all providers in zip 76164 | ||||
| Taxonomy Code | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437756772 | Usrc Bluebonnet, LLC | Clinic/Center | 1902 Windsor Pl, Ste 100, Fort Worth, TX 76110-1866 | 2020-10-08 |
| 1609473941 | Usrc Bluebonnet Home, LLC | Clinic/Center | 1902 Windsor Pl Ste 202, Fort Worth, TX 76110-1866 | 2020-10-08 |
| 1194296202 | Fresenius Medical Care Keller, LLC | Clinic/Center | 3700 N Tarrant Pkwy, Fort Worth, TX 76177 | 2018-12-16 |
| 1992213078 | Fresenius Medical Care Se Fort Worth, LLC | Clinic/Center | 3708 E Rosedale St, Fort Worth, TX 76105 | 2018-01-11 |
| 1184024770 | Kerricher Dialysis, LLC | Clinic/Center | 2400 Lands End Blvd, Ste 131, Fort Worth, TX 76116-2170 | 2014-09-02 |
| 1659771624 | Headlands Dialysis, LLC | Clinic/Center | 5832 S Hulen St, Fort Worth, TX 76132-2684 | 2014-08-27 |
| 1235538299 | Hugo Dialysis, LLC | Clinic/Center | 11000 Old Denton Rd, Fort Worth, TX 76244-5407 | 2014-08-15 |
| 1184030751 | Manchester Dialysis, LLC | Clinic/Center | 3845 E Loop 820 S, Fort Worth, TX 76119-4337 | 2014-07-03 |
| 1528480837 | Usrc Bryant Irvin, LLC | Clinic/Center | 5729 Bryant Irvin Rd, Fort Worth, TX 76132 | 2014-01-07 |
| 1730517541 | North Arlington Dialysis Center LLC | Clinic/Center | 1451 Eastchase Pkwy, Fort Worth, TX 76120-4403 | 2013-10-15 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76164 |
Please comment or provide details below to improve the information on USRC TARRANT LP.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.