Organization Active NPI

Usrc Katy Dialysis Center LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Katy, TX
National Provider Identifier
1841465580
Registry record updated Apr 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
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 INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 24, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
PENDINGMedicaidTX

Other names 1

  • US Renal Care Katy Dialysis Doing business as

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.

Verify at the official NPI Registry.