| NPI | 1891083929 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABDUL N KHAN Owner 580-223-8614 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (Licence: OK 20569) |
| Enumeration Date | 2011-07-11 |
| Last Update Date | 2011-07-11 |