| NPI | 1497792337 |
|---|---|
| Doing Business As | MATAGORDA RENAL DIALYSIS CENTER |
| Entity Type | Organization |
| Authorized Contact | MARK R. FAWCETT Treasurer 781-699-9000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (Licence: TX 007998) |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2013-03-12 |