| NPI | 1982887907 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN O IKE Owner 713-777-4699 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2007-12-12 |
| Last Update Date | 2007-12-12 |