| NPI | 1265990360 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARMEN GUTIERREZ Project Manager 817-846-2316 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2019-03-07 |
| Last Update Date | 2019-03-11 |