NPI | 1053395103 |
---|---|
Other Name | MIDLAND DIALYSIS CENTER |
Entity Type | Organization |
Authorized Contact | DOUGLAS PARK Medical Director 432-687-4044 |
Organization Subpart ? | No |
Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (Licence: TX 006898) |
Enumeration Date | 2005-12-02 |
Last Update Date | 2008-02-14 |