| NPI | 1225032253 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA J MEDOLA Supervisor 210-692-1515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center End-Stage Renal Disease (ESRD) Treatment (Licence: TX 000043) |
| Enumeration Date | 2005-06-08 |
| Last Update Date | 2010-04-07 |