Organization Active NPI

Usrc Tarrant L P

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Mansfield, TX
National Provider Identifier
1336195841
Registry record updated Nov 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
License
008464 Issued in TX
Legal business name
USRC TARRANT L P
Doing business as
USRC Tarrant Dialysis Mansfield
Practice address
1800 Highway 157 N Ste 101
Mansfield, TX 76063-3930
Phone
(682) 518-0126
Fax
(682) 518-0533
NPI assigned
May 26, 2006
Organization subpart
Yes
Parent organization
US RENAL CARE INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 16, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Thomas L Weinberg
Title
VP, General Counsel
Phone
(214) 736-2700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X 008464 TX Primary

Addresses

Primary practice location

1800 Highway 157 N Ste 101
Mansfield, TX 76063-3930

Mailing address

PO Box 952074
Dallas, TX 75395-2074
Phone (870) 931-5400

Other identifiers 5

IdentifierTypeStateIssuer
017939OtherTXKIDNEY HEALTH CARE
186431610MedicaidTX
HH045YOtherTXBLUE CROSS
023076OtherTXKIDNEY HEALTH CENTER (KHC)
186431611MedicaidTX

Other names 1

  • USRC Tarrant Dialysis Mansfield Doing business as

National Provider Directory

National Provider Directory
Part of
US Renal Care Inc

Locations

1800 Highway 157 N
Ste 101
Mansfield, TX 76063
Phone (682) 518-0126

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700092800000",
    "number": "1336195841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 952074",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753952074",
            "telephone_number": "870-931-5400",
            "fax_number": "870-931-5418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 HIGHWAY 157 N STE 101",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760633930",
            "telephone_number": "682-518-0126",
            "fax_number": "682-518-0533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "USRC TARRANT L P",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "US RENAL CARE INC",
        "enumeration_date": "2006-05-26",
        "last_updated": "2023-11-16",
        "certification_date": "2023-11-16",
        "status": "A",
        "authorized_official_last_name": "WEINBERG",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "VP, GENERAL COUNSEL",
        "authorized_official_telephone_number": "214-736-2700",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "TX",
            "license": "008464",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KIDNEY HEALTH CARE",
            "identifier": "017939",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "186431610",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "HH045Y",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KIDNEY HEALTH CENTER (KHC)",
            "identifier": "023076",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "186431611",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "USRC Tarrant Dialysis Mansfield",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "USRC Tarrant Dialysis Mansfield",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mansfield, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.