| NPI | 1497408157 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOEY WHITEHEAD Director 832-585-4824 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2022-02-01 |
| Last Update Date | 2022-02-17 |