| NPI | 1669624359 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMY NELL NARCISSE Owner 409-833-5200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 293D00000X Physiological Laboratory (Licence: TX 63952) |
| Enumeration Date | 2008-10-14 |
| Last Update Date | 2010-01-06 |