| NPI | 1568184604 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BIJU KURIAKOSE Chief Operating Officer 903-455-9911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2022-09-15 |
| Last Update Date | 2022-09-15 |