| NPI | 1609847581 |
|---|---|
| Doing Business As | SATELLITE HEALTHCARE CENTRAL MODESTO |
| Entity Type | Organization |
| Authorized Contact | THOMAS L. WEINBERG Authorized Official, President & Ch 214-736-2730 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (Licence: CA 110000527) |
| Enumeration Date | 2006-01-30 |
| Last Update Date | 2024-05-15 |