NPI | 1023639739 |
---|---|
Doing Business As | SATELLITE WELLBOUND SOUTH AUSTIN |
Entity Type | Organization |
Authorized Contact | THOMAS L. WEINBERG Authorized Official President/Cha 214-736-2700 |
Organization Subpart ? | No |
Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
Enumeration Date | 2020-05-04 |
Last Update Date | 2023-11-02 |