| NPI | 1568031995 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAMERAN NGUYEN Physician 817-482-0000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZD0900X Pathology, Dermatopathology |
| Additional Taxonomies | 208D00000X General Practice |
| Enumeration Date | 2021-06-21 |
| Last Update Date | 2023-12-31 |