| NPI | 1649548942 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES O WILLIAMS Owner 817-303-1007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2011-12-01 |
| Last Update Date | 2011-12-01 |