Usrc West Fort Worth Dialysis Lp

NPI 1407030364 - Clinic/Center - 261QE0700X

NPI Details
NPI 1407030364
Enumeration Date 12/27/2007
Last Updated 10/28/2013
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name THOMAS L THOMAS
Position SR VP/GENERAL COUNSEL
Phone (817) 367-0822
Fax (817) 367-1520
Practice Location
1704 S CHERRY LN
SUITE 200
WHITE SETTLEMENT TX, 76108-3629, US
Phone (817) 367-0822
Fax (817) 367-1520
Business Location
PO BOX 19119
JONESBORO AR, 72403-6601, US
Phone (870) 931-5400
Fax (870) 931-5418
Toxanomy
Taxonomy Code 261QE0700X
License State
License Number
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According to our database, Usrc West Fort Worth Dialysis Lp NPI is 1407030364, taxonomy code is 261QE0700X Usrc West Fort Worth Dialysis Lp physically located at 1704 S Cherry Ln, White Settlement TX, 76108-3629. NPI Number 1033115704 has the healthcare provider type.

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1407030364 NPI number is provided on an as is basis without warranty of any kind. 1407030364 is maintained by the National Plan & Provider Enumeration System. The contents of Usrc West Fort Worth Dialysis Lp are for informational purposes only.