| NPI | 1124167887 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GINA GOMEZ Practice Administrator 817-540-7085 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: TX 007127) |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2020-08-22 |