RELIANT RENAL CARE-TEXAS, LLC


Address: 1032 Sandy Ln, Fort Worth, TX 76120-3314
Phone: 8174291944

RELIANT RENAL CARE-TEXAS, LLC (NPI# 1386689891) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1386689891
Entity Type Organization
Organization Name RELIANT RENAL CARE-TEXAS, LLC
Practice Address 1032 Sandy Ln
Fort Worth
TX 76120-3314
Practice Telephone 8174291944
Practice Fax Number 8174576873
Mailing Telephone 8174291944
Mailing Fax Number 8174576873
Enumeration Date 2006-06-18
Last Update Date 2018-03-19
Authorized Official Name MARK FAWCETT (SVP AND TREASURER)
Authorized Official Telephone 7816992668
Is Organization Subpart Y
Parent Organization Name FRESENIUS MEDICAL CARE HOLDINGS INC.

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QE0700X Clinic/Center
Specialization: End-Stage Renal Disease (ESRD) Treatment
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
TX PTAN 45-2563 01

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1497895619 Reliant Renal Care-texas, LLC Clinic/Center 5601 Locke Ave Ste 101, Fort Worth, TX 76107-5127 2007-02-07

Office Location

Street Address 1032 SANDY LN
City FORT WORTH
State TX
Zip Code 76120-3314

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NPI Name Taxonomy Address Enumeration
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Taxonomy Information

Taxonomy Code 261QE0700X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization End-Stage Renal Disease (ESRD) Treatment

Taxonomy Definition

Definition to come...

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Competitor

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City FORT WORTH
Zip Code 76120

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Dataset Information

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.

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