Organization
ELIK DIALYSIS HOME THERAPY MANAGEMENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BALBEER K GODWIN REGISTERED NURSE RN (PRESIDENT)
(512) 203-3826
Entity
Organization
Contact information
Practice address
311 RR 620 SOUTH, SUITE 103, AUSTIN, TX 78734-4747
(512) 266-8135
(512) 266-9266
Mailing address
311 RR 620 SOUTH, SUITE 103, AUSTIN, TX 78734-4747
(512) 266-8135
(512) 266-9266
Taxonomy
Speciality
Code
Description
License number
State
163WD1100X
Peritoneal Dialysis Registered Nurse
Primary
537328
TX
Other
Enumeration date
12/31/2007
Last updated
03/27/2008
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