| NPI | 1538360409 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY LYNN DAVIS Don 972-291-7007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory (Licence: TX 45D09820728) |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2020-08-22 |