| NPI | 1003425653 |
|---|---|
| Former Legal Business Name | RNDIVAS RC |
| Entity Type | Organization |
| Authorized Contact | DARLENEYA ROBINSON President 469-835-4911 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
| Enumeration Date | 2020-07-29 |
| Last Update Date | 2020-07-29 |