Active NPI
Usrc Katy Dialysis Center LLC
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Katy, TX
National Provider Identifier
1841465580
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Legal business name
- USRC KATY DIALYSIS CENTER LLC
- Practice address
- 21731 Provencial Blvd
Katy, TX 77450 - Phone
- (214) 736-2732
- Fax
- (972) 367-6011
- NPI assigned
- Apr 24, 2008
- 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
- Senior Vice President
- Phone
- (214) 736-2732
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | Primary |
Addresses
Primary practice location
21731 Provencial Blvd
Katy, TX 77450
Mailing address
14651 Dallas Pkwy Ste 900
Dallas, TX 75254-8862
Phone (214) 736-2732
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PENDING | Medicaid | TX |
Other names 1
- US Renal Care Katy Dialysis
National Provider Directory
National Provider Directory- Part of
- US Renal Care Inc
Locations
21731 Provencial Blvd
Katy, TX 77450
Phone (214) 736-2732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208995200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208995200000",
"number": "1841465580",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14651 DALLAS PKWY STE 900",
"city": "DALLAS",
"state": "TX",
"postal_code": "752548862",
"telephone_number": "214-736-2732",
"fax_number": "972-367-6011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21731 PROVENCIAL BLVD",
"city": "KATY",
"state": "TX",
"postal_code": "77450",
"telephone_number": "214-736-2732",
"fax_number": "972-367-6011"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "USRC KATY DIALYSIS CENTER LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "US RENAL CARE INC",
"enumeration_date": "2008-04-24",
"last_updated": "2008-04-24",
"status": "A",
"authorized_official_last_name": "WEINBERG",
"authorized_official_first_name": "THOMAS",
"authorized_official_middle_name": "L.",
"authorized_official_title_or_position": "SENIOR VICE PRESIDENT",
"authorized_official_telephone_number": "214-736-2732"
},
"taxonomies": [
{
"code": "261QE0700X",
"taxonomy_group": "",
"desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PENDING",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "US Renal Care Katy Dialysis",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Katy, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.