| NPI | 1821744806 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANISH PANDYA Provider 505-278-8575 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2022-02-28 |
| Last Update Date | 2022-03-08 |