| NPI | 1942544408 |
|---|---|
| Doing Business As | DIALYSPA VINTAGE PARK |
| Entity Type | Organization |
| Authorized Contact | JEFFREY E KALINA CEO 713-218-6500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (Licence: TX 110174) |
| Enumeration Date | 2012-11-21 |
| Last Update Date | 2020-08-11 |