| NPI | 1407001613 |
|---|---|
| Doing Business As | DESERT MILAGRO DIALYSIS CENTER |
| Entity Type | Organization |
| Authorized Contact | LARRY D. OLIVER Owner 432-522-2304 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2008-12-02 |
| Last Update Date | 2009-11-04 |