| NPI | 1356452403 |
|---|---|
| Doing Business As | MONTGOMERY KIDNEY SPECIALISTS OF SELMA |
| Former Legal Business Name | MONTGOMERY KIDNEY SPECIALISTS |
| Entity Type | Organization |
| Authorized Contact | RAFAEL A. LOPEZ Owner/Partner 334-269-0212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2022-08-23 |