| NPI | 1417219130 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALFREDO A GONZALES Owner 281-975-8601 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: TX 45D2041509) |
| Enumeration Date | 2012-06-08 |
| Last Update Date | 2012-12-05 |