| NPI | 1821273558 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BALBEER K GODWIN President 512-203-3826 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WD1100X Registered Nurse, Dialysis, Peritoneal (Licence: TX 537328) |
| Enumeration Date | 2007-12-31 |
| Last Update Date | 2008-03-27 |