| NPI | 1033519020 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SIMON ITAMAN Administrator 832-677-8401 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: TX 45D2057150) |
| Enumeration Date | 2014-08-27 |
| Last Update Date | 2014-11-14 |