| NPI | 1306848205 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONY W LEUNG Medical Director 337-478-9585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (Licence: LA 101) |
| Enumeration Date | 2005-08-11 |
| Last Update Date | 2020-08-22 |