| NPI | 1144975129 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CASSANDRA MISTRETTA CEO 817-410-7300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2022-02-17 |
| Last Update Date | 2022-03-16 |