| NPI | 1851457303 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEA MANGALINO Administrator 281-820-4880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (Licence: TX 008242) |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2020-08-22 |