| NPI | 1861658205 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID ERIC HAMON CFO 361-694-4602 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (Licence: TX 008106) |
| Additional Taxonomies | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (Licence: TX 110249) |
| Enumeration Date | 2008-08-05 |
| Last Update Date | 2015-04-14 |