| NPI | 1609449941 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA Y LISTON Administrator 936-234-9557 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology |
| Additional Taxonomies | 207ZD0900X Pathology, Dermatopathology |
| 207ZP0007X Pathology, Molecular Genetic Pathology | |
| Enumeration Date | 2021-07-23 |
| Last Update Date | 2024-03-26 |