| NPI | 1700816923 |
|---|---|
| Former Legal Business Name | CENTRAL TEXAS KIDNEY ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | LISA DONNELLY Adm 512-451-5800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2012-10-29 |