| NPI | 1952589665 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELANIE L. BAUMGARTNER Administrator/CEO 325-617-2496 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (Licence: TX 8643) |
| Additional Taxonomies | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2008-02-05 |
| Last Update Date | 2010-09-10 |