| NPI | 1629486659 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER KVAPIL Member 214-377-7210 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology |
| Enumeration Date | 2014-07-22 |
| Last Update Date | 2015-11-09 |