| NPI | 1487092755 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERRY PERRY Dialysis Manager 254-724-6005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (Licence: TX DT 80613) |
| Enumeration Date | 2013-06-10 |
| Last Update Date | 2013-06-11 |