| NPI | 1124477112 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BIJU CHERIAN Managing Member 505-264-8120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2016-06-09 |
| Last Update Date | 2023-01-13 |