| NPI | 1114109907 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARION WILSON Administrator 281-240-5095 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2007-12-04 |
| Last Update Date | 2007-12-04 |