| NPI | 1609641240 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TINA S IPE Owner 817-689-5139 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine |
| Additional Taxonomies | 207ZB0001X Pathology, Blood Banking & Transfusion Medicine |
| 207ZC0006X Pathology, Clinical Pathology | |
| Enumeration Date | 2023-11-22 |
| Last Update Date | 2023-11-22 |