| NPI | 1700531985 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARMAINE HOGAN Laboratory Director 940-440-2923 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 251300000X Local Education Agency (LEA) |
| 305S00000X Point of Service | |
| Enumeration Date | 2022-02-16 |
| Last Update Date | 2022-02-16 |