| NPI | 1821427782 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | T ST JULIEN Facility Administrator 832-722-3129 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2013-11-01 |
| Last Update Date | 2013-11-01 |