| NPI | 1811290109 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI TIMMONS Administrator 979-864-4330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (Licence: TX 008722) |
| Enumeration Date | 2010-12-08 |
| Last Update Date | 2010-12-08 |