| NPI | 1225318199 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALFREDO TINAJERO Manager 281-212-7807 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: TX 45D2026535) |
| Enumeration Date | 2011-08-24 |
| Last Update Date | 2011-08-24 |