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At the end of 2010, Texas had a total of 481 Medicare Certified dialysis facilities located in 119 of the 254 Texas counties. Thus, facilities are located in 46.9 percent of Texas counties. Harris County (Houston area) has the most facilities (n=83), Bexar County (San Antonio area) the second highest number (n=45) and Dallas County (Dallas area) the third highest number (n=42). When Fort Worth (n= 32) is combined with Dallas to encompass the DFW Metroplex with 74 facilities, the area surpasses San Antonio.


Twenty-three transplant centers and one special renal children's camp were also in operation.


Dialysis facilities are concentrated in highly populated urban areas, and also in some border counties. There are three Veterans Administration (VA), three military and two criminal justice non-Medicare Certified dialysis facilities operating in Texas.
As has been true for a number of years, the majority of facilities are owned by National Corporations (64.2%). Independently owned facilities comprise 11.6% and Regional owned facilities comprise 18.1%. The remaining facilities are Military, VA , state owned and prisons.

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