| NPI | 1588646392 |
|---|---|
| Doing Business As | SHANNON DIALYSIS CENTER |
| Entity Type | Organization |
| Authorized Contact | JOHN GILBREATH Chief Financial Officer 325-658-1511 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: TX F1646) |
| Enumeration Date | 2005-11-17 |
| Last Update Date | 2009-12-18 |