| NPI | 1275639007 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID MANLY MCTAGGART President & Supervising Physician 254-752-9621 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2009-04-30 |