| NPI | 1205475829 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHERINE SHOUP COLLINS Practice Administrator 214-536-1647 |
| Organization Subpart ? | No |
| Primary Taxonomy | 293D00000X Physiological Laboratory |
| Enumeration Date | 2019-12-30 |
| Last Update Date | 2019-12-30 |