| NPI | 1376487280 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEREN GAMEZ Administrative Assistant 469-862-9991 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2472R0900X Technician, Other, Renal Dialysis |
| Enumeration Date | 2026-04-20 |
| Last Update Date | 2026-04-20 |