| NPI | 1053689034 |
|---|---|
| Doing Business As | ODESSA DIALYSIS |
| Entity Type | Organization |
| Authorized Contact | JAMES K HILGER Chief Accounting Officer 253-382-1919 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (Licence: TX 110111) |
| Enumeration Date | 2011-12-06 |
| Last Update Date | 2012-12-21 |