NPI | 1710639620 |
---|---|
Entity Type | Organization |
Authorized Contact | TANYA LEWIS Owner/Administrator 254-651-1717 |
Organization Subpart ? | No |
Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
Enumeration Date | 2022-01-21 |
Last Update Date | 2022-02-21 |