| NPI | 1467085167 |
|---|---|
| Doing Business As | TANGLEWILDE DIALYSIS CENTER |
| Entity Type | Organization |
| Authorized Contact | MARGARET MODUPE ARISE CEO/ Managing Member 832-605-3943 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2020-02-20 |
| Last Update Date | 2020-02-20 |