| NPI | 1598310179 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELANIE LORRAINE BAUMGARTNER Administrator 325-450-4445 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2019-08-09 |
| Last Update Date | 2020-07-27 |