| NPI | 1558748459 |
|---|---|
| Doing Business As | THE KIDNEY HOUSE |
| Entity Type | Organization |
| Authorized Contact | DERRICK LOVE-JONES CEO 817-781-2250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: TX AP125430) |
| Enumeration Date | 2015-04-29 |
| Last Update Date | 2016-08-29 |