| NPI | 1013234574 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAYAKAR R MOPARTY CEO 281-257-0404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2010-04-23 |
| Last Update Date | 2010-04-23 |