| NPI | 1306989124 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTINO HERRERA ORANTES President 281-546-8791 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: TX 45D1063471) |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2008-10-08 |