| NPI | 1336174986 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY JOSEPHINE GODINICH CEO 409-933-0406 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (Licence: TX 006484) |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2020-08-22 |