NPI | 1922518448 |
---|---|
Entity Type | Organization |
Authorized Contact | BALI REDDY SODAM Owner 580-536-5273 |
Organization Subpart ? | No |
Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
Enumeration Date | 2017-10-11 |
Last Update Date | 2023-01-12 |