Provider Demographics
NPI:1205895620
Name:RENCARE INC
Entity type:Organization
Organization Name:RENCARE INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:VP, GENERAL COUNSEL
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:L
Authorized Official - Last Name:WEINBERG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-367-6010
Mailing Address - Street 1:7171 HWY 90 W
Mailing Address - Street 2:SUITE 101
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78227-3567
Mailing Address - Country:US
Mailing Address - Phone:210-673-9200
Mailing Address - Fax:210-673-9209
Practice Address - Street 1:7171 HWY 90 W
Practice Address - Street 2:SUITE 101
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78227-3567
Practice Address - Country:US
Practice Address - Phone:210-673-9200
Practice Address - Fax:210-673-9209
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:US RENAL CARE INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-03-23
Last Update Date:2008-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX007858261QE0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QE0700XAmbulatory Health Care FacilitiesClinic/CenterEnd-Stage Renal Disease (ESRD) Treatment
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXHH6472OtherBCBS
TX013336OtherKIDNEY HEALTH CARE
TXHH6472OtherBCBS