| NPI | 1346514619 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IYABODE MUNIRAT OGUNLADE Manager 281-206-4496 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: TX M8471) |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2012-03-02 |
| Last Update Date | 2023-05-19 |