| NPI | 1083298095 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK R NAIL Business Manager 512-826-3696 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2021-05-06 |
| Last Update Date | 2021-08-30 |