| NPI | 1629842968 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATRINA HAYNES President 972-232-9096 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service |
| Additional Taxonomies | 246RP1900X Technician, Pathology Phlebotomy |
| 291U00000X Clinical Medical Laboratory | |
| Enumeration Date | 2023-11-07 |
| Last Update Date | 2023-11-15 |