| NPI | 1366039901 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REUBEN VALENTIN Owner 956-212-7984 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology |
| Additional Taxonomies | 261QE0700X Clinic/Center End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2020-12-29 |
| Last Update Date | 2022-09-23 |