NPI | 1386170843 |
---|---|
Doing Business As | KIDNEY SPECIALISTS OF THE WOODLANDS AND CONROE, P.A. |
Entity Type | Organization |
Authorized Contact | MICHAEL J WALLS President/Owner 936-520-8983 |
Organization Subpart ? | No |
Primary Taxonomy | 174400000X Specialist (Licence: TX J6047) |
Enumeration Date | 2017-05-03 |
Last Update Date | 2020-10-01 |