| NPI | 1740726983 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BLAKE WERNER Manager 832-549-8355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: TX 45D2123176) |
| Enumeration Date | 2017-01-11 |
| Last Update Date | 2017-01-11 |