| NPI | 1558382176 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARION WILSON Administrator 281-240-5095 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (Licence: TX 007986) |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2019-12-26 |