| NPI | 1760452080 |
|---|---|
| Doing Business As | COOK CHILDREN'S DIALYSIS UNIT |
| Entity Type | Organization |
| Authorized Contact | CORY R RHOADES Chief Financial Officer 682-885-4480 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (Licence: TX 110129) |
| Enumeration Date | 2006-01-26 |
| Last Update Date | 2021-04-08 |