| NPI | 1962466649 |
|---|---|
| Doing Business As | ROCK PRAIRIE ROAD DIALYSIS |
| Entity Type | Organization |
| Authorized Contact | SAMUEL T WEY VP Licensure&Certification 615-341-6641 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (Licence: TX 110450) |
| Enumeration Date | 2006-04-12 |
| Last Update Date | 2025-01-15 |