| NPI | 1548654312 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN D SMITH Cpa 817-466-9333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (Licence: OK 16988) |
| Enumeration Date | 2015-03-19 |
| Last Update Date | 2015-03-19 |