| NPI | 1629613534 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEA SPRUILL Partner/ COO 432-413-3477 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine |
| Additional Taxonomies | 207ZP0007X Pathology, Molecular Genetic Pathology |
| 207ZP0101X Pathology, Anatomic Pathology | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology | |
| Enumeration Date | 2019-11-14 |
| Last Update Date | 2022-02-17 |