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At the end of 2009, Texas had a total of 420 Medicare approved dialysis facilities located in 108 of the 254 Texas counties. Thus, facilities are located in 42.5 percent of Texas counties. Harris County (Houston area) has the most facilities (n=76), Bexar County (San Antonio area) the second highest number (n=48) and Dallas County (Dallas area) the third highest number (n=45). When Fort Worth (n= 32) is combined with Dallas to encompass the DFW Metroplex with 77 facilities, the area surpasses Houston.
Twenty-fuve 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 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 (73.0%). Independently owned facilities comprise 14.1% and Regional owned facilities comprise 10.6%. The remaining facilities are Military, Veterans Administration, State owned, and Prisons.
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