| NPI | 1063273910 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AHSAN USMAN Owner 314-560-9648 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2024-01-18 |
| Last Update Date | 2024-01-18 |