Active NPI
Usrc Conway LLC
Doing business as US Renal Care Conway Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Mission, TX
National Provider Identifier
1376092221
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Legal business name
- USRC CONWAY LLC
- Doing business as
- US Renal Care Conway Dialysis
- Practice address
- 200 W 2 Mile Rd
Mission, TX 78574-0233 - Phone
- (956) 445-5365
- Fax
- (956) 445-5366
- NPI assigned
- Oct 3, 2016
- Organization subpart
- Yes
- Parent organization
- US RENAL CARE INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Thomas L Weinberg
- Title
- Chairman
- Phone
- (214) 736-2700
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | Primary |
Addresses
Primary practice location
200 W 2 Mile Rd
Mission, TX 78574-0233
Mailing address
PO Box 251549
Plano, TX 75025-1500
Phone (214) 736-2732
Other names 1
- US RENAL CARE CONWAY DIALYSIS
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170221000922 | TX | Part A Provider - End-Stage Renal Disease Facility (ESRD) | 4688958598 | Practice locations: Mission, TX |
National Provider Directory
National Provider Directory- Part of
- US Renal Care Inc
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nephrology Physician
- Mission, TX
- NPI 1760565378
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1475452800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1490313600000",
"number": "1376092221",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 251549",
"city": "PLANO",
"state": "TX",
"postal_code": "750251500",
"telephone_number": "214-736-2732",
"fax_number": "214-736-2733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 W 2 MILE RD",
"city": "MISSION",
"state": "TX",
"postal_code": "785740233",
"telephone_number": "956-445-5365",
"fax_number": "956-445-5366"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "USRC CONWAY LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "US RENAL CARE INC",
"enumeration_date": "2016-10-03",
"last_updated": "2017-03-24",
"status": "A",
"authorized_official_last_name": "WEINBERG",
"authorized_official_first_name": "THOMAS",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "CHAIRMAN",
"authorized_official_telephone_number": "214-736-2700"
},
"taxonomies": [
{
"code": "261QE0700X",
"taxonomy_group": "",
"desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "US RENAL CARE CONWAY DIALYSIS",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Mission, TX
- Upper Valley Dialysis Access Center, LLC
- Upper Valley Interventional Nephrology, PLLC
- Urgency Care and Occupational
- Urgent Care Transport
- Usrc Bryan Road Dialysis Center LLC
- Usrc Mission LP (US Renal Care Mission Dialysis)
- Val Verde County Hospital District (Mission Valley Nursing and Transitional Care)
- Vanessa Lee Valdez, M.ED, LPC
- Brenda Valencia, LCSW
- Victor Manuel Valencia Jr.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.