| NPI | 1548231608 |
|---|---|
| Doing Business As | U.S. RENAL CARE GRAND AVENUE DIALYSIS |
| Entity Type | Organization |
| Authorized Contact | THOMAS L. WEINBERG Authorized Official 214-736-2700 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (Licence: CA 930001008) |
| Enumeration Date | 2006-01-27 |
| Last Update Date | 2014-11-14 |