| NPI | 1811151046 |
|---|---|
| Doing Business As | SAN AUGUSTINE DIALYSIS CLINIC |
| Entity Type | Organization |
| Authorized Contact | RICHARD AHRENS CFO 936-634-8111 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2008-07-16 |
| Last Update Date | 2009-05-06 |