| NPI | 1003522103 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYLINDA JORDAN-RUBEN Administrator 682-206-6627 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246RM2200X Technician, Pathology, Medical Laboratory |
| Enumeration Date | 2023-01-24 |
| Last Update Date | 2023-01-24 |