| NPI | 1598212573 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAYASANKAR REDDY Director 940-716-0557 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2016-09-07 |
| Last Update Date | 2020-01-26 |