| NPI | 1205899010 |
|---|---|
| Doing Business As | JACINTO DIALYSIS CENTER |
| 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 008111) |
| Enumeration Date | 2006-04-11 |
| Last Update Date | 2024-04-17 |