Usrc Bryan Road Dialysis Center LLC

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

License

008626 Issued in TX

Legal business name

USRC BRYAN ROAD DIALYSIS CENTER LLC

Practice address

1300 S Bryan Rd
Suite 107
Mission, TX 78572-6626

Phone

(956) 424-7833

Fax

(956) 424-7407

NPI assigned

Oct 29, 2007

Organization subpart

Yes

Parent organization

US RENAL CARE INCAs reported in NPPES

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

Authorized official

Name

Mr. Thomas L Weinberg

Title

Senior VP, General Counsel

Phone

(972) 367-6030

Specialties & licenses 1

Addresses

Part of

US Renal Care Inc

Locations

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

{
    "created_epoch": "1193616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205193600000",
    "number": "1447439302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14651 DALLAS PKWY",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752547476",
            "telephone_number": "972-367-6010",
            "fax_number": "972-367-6011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 S BRYAN RD",
            "address_2": "SUITE 107",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785726626",
            "telephone_number": "956-424-7833",
            "fax_number": "956-424-7407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "USRC BRYAN ROAD DIALYSIS CENTER LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "US RENAL CARE INC",
        "enumeration_date": "2007-10-29",
        "last_updated": "2008-03-11",
        "status": "A",
        "authorized_official_last_name": "WEINBERG",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "SENIOR VP, GENERAL COUNSEL",
        "authorized_official_telephone_number": "972-367-6030",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "TX",
            "license": "008626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Unique Pediatic Rehab Center LLC
• Upper Valley Dialysis Access Center, LLC
• Upper Valley Interventional Nephrology, PLLC
• Urgency Care and Occupational
• Urgent Care Transport
• Usrc Conway LLC
• Usrc Mission LP
• Val Verde County Hospital District
• Vanessa Lee Valdez, M.ED, LPC
• Brenda Valencia, LCSW

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Mission, TX
• Providers in Mission, TX by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2008; 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.