| NPI | 1306820451 |
|---|---|
| Doing Business As | ODESSA KIDNEY DIALYSIS CENTER |
| Entity Type | Organization |
| Authorized Contact | DOUGLAS PARK Medical Director 432-687-4044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (Licence: TX 008017) |
| Enumeration Date | 2005-12-02 |
| Last Update Date | 2020-08-22 |