| NPI | 1386849255 |
|---|---|
| Doing Business As | PROFESSIONAL TECHNOLOGY LABORATORY |
| Entity Type | Organization |
| Authorized Contact | STEPHEN B TUCKER Owner 281-367-9110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: TX F6143) |
| Enumeration Date | 2007-06-19 |
| Last Update Date | 2010-11-04 |