| NPI | 1043820111 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLIE A WHILES Manager Member 580-695-1306 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2020-08-04 |
| Last Update Date | 2025-01-28 |