| NPI | 1649275504 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA HEMENEZ Administrator 281-491-4009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251F00000X Home Infusion (Licence: TX 005985) |
| Additional Taxonomies | 251E00000X Home Health (Licence: TX 005985) |
| 253Z00000X In Home Supportive Care (Licence: TX 005985) | |
| 261QE0700X Clinic/Center End-Stage Renal Disease (ESRD) Treatment (Licence: TX 005985) | |
| 332BD1200X Durable Medical Equipment & Medical Supplies Dialysis Equipment & Supplies (Licence: TX 1001352) | |
| Enumeration Date | 2005-06-16 |
| Last Update Date | 2018-06-16 |