| NPI | 1518233212 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHONTAL CARRUTH Billing Manager 806-778-9842 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (Licence: TX F7299) |
| Enumeration Date | 2012-03-27 |
| Last Update Date | 2021-05-05 |