| NPI | 1538700729 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PONNIAH S. SANKARAPANDIAN Manager 817-725-7900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2019-09-30 |
| Last Update Date | 2019-09-30 |