Organization Active NPI

Reliant Renal Care-Texas, LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Fort Worth, TX
National Provider Identifier
1386689891
Registry record updated Mar 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
RELIANT RENAL CARE-TEXAS, LLC
Practice address
1032 Sandy LN
Fort Worth, TX 76120-3314
Phone
(817) 429-1944
Fax
(817) 457-6873
NPI assigned
Jun 18, 2006
Organization subpart
Yes
Parent organization
FRESENIUS MEDICAL CARE HOLDINGS INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 19, 2018

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

Authorized official

Name
Mark Fawcett
Title
SVP and Treasurer
Phone
(781) 699-2668

Specialties & licenses 1

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

Addresses

Primary practice location

1032 Sandy LN
Fort Worth, TX 76120-3314

Mailing address

1032 Sandy LN
Fort Worth, TX 76120-3314
Phone (817) 429-1944

Other identifiers 1

IdentifierTypeStateIssuer
45-2563OtherTXPTAN

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521417600000",
    "number": "1386689891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1032 SANDY LN",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761203314",
            "telephone_number": "817-429-1944",
            "fax_number": "817-457-6873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1032 SANDY LN",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761203314",
            "telephone_number": "817-429-1944",
            "fax_number": "817-457-6873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RELIANT RENAL CARE-TEXAS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FRESENIUS MEDICAL CARE HOLDINGS INC.",
        "enumeration_date": "2006-06-18",
        "last_updated": "2018-03-19",
        "status": "A",
        "authorized_official_last_name": "FAWCETT",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "SVP AND TREASURER",
        "authorized_official_telephone_number": "781-699-2668"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "45-2563",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2018; 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.