Provider Demographics
NPI:1114549128
Name:RENAL CARE OF TEXAS PLLC
Entity Type:Organization
Organization Name:RENAL CARE OF TEXAS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RANJIT
Authorized Official - Middle Name:K
Authorized Official - Last Name:DHELARIA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:682-235-0825
Mailing Address - Street 1:309 REGENCY PKWY STE 201
Mailing Address - Street 2:
Mailing Address - City:MANSFIELD
Mailing Address - State:TX
Mailing Address - Zip Code:76063-5165
Mailing Address - Country:US
Mailing Address - Phone:682-235-0825
Mailing Address - Fax:248-294-1235
Practice Address - Street 1:309 REGENCY PKWY STE 201
Practice Address - Street 2:
Practice Address - City:MANSFIELD
Practice Address - State:TX
Practice Address - Zip Code:76063-5165
Practice Address - Country:US
Practice Address - Phone:682-235-0825
Practice Address - Fax:248-294-1235
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-13
Last Update Date:2022-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXNAMedicaid