| NPI | 1912520412 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER ENABE Owner 713-628-2646 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2020-05-19 |
| Last Update Date | 2021-03-04 |