NPI | 1124043187 |
---|---|
Doing Business As | RENAL CENTER OF TYLER |
Entity Type | Organization |
Authorized Contact | SAMUEL WEY VP Licensure & Certification 615-341-6641 |
Organization Subpart ? | No |
Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (Licence: TX 007969) |
Enumeration Date | 2006-07-12 |
Last Update Date | 2024-06-13 |