| NPI | 1750761292 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY ANN WILLIAMS Owner 214-732-6205 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246RP1900X Technician, Pathology, Phlebotomy (Licence: AL 16739) |
| Additional Taxonomies | 171W00000X Contractor |
| 246ZE0500X Specialist/Technologist, Other, EEG (Licence: AL 16739) | |
| 261QH0100X Clinic/Center, Health Services (Licence: AL 16739) | |
| 305S00000X Point of Service | |
| Enumeration Date | 2015-05-29 |
| Last Update Date | 2015-05-29 |