| NPI | 1649623620 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH BLAN Dialysis Director 580-765-2501 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2016-07-14 |
| Last Update Date | 2016-07-14 |