NPI | 1619014594 |
---|---|
Doing Business As | COLETTE NELSON |
Entity Type | Organization |
Authorized Contact | COLETTE MARIE NELSON Owner/Administrator 713-816-1487 |
Organization Subpart ? | No |
Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (Licence: TX 008614) |
Additional Taxonomies | 291U00000X Clinical Medical Laboratory (Licence: TX 45D1083282) |
Enumeration Date | 2007-01-31 |
Last Update Date | 2020-10-06 |