| NPI | 1780057026 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDY BUTLER Administrator 713-416-7749 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: TX 45D209495) |
| Enumeration Date | 2015-11-09 |
| Last Update Date | 2015-11-09 |