| NPI | 1023757432 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LILY WU Office Manager 817-637-2114 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology |
| Enumeration Date | 2022-06-02 |
| Last Update Date | 2022-08-29 |