| NPI | 1841032810 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BLAKE T WERNER Director Of Business Operations 832-549-8355 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 293D00000X Physiological Laboratory |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 335V00000X Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier | |
| Enumeration Date | 2024-06-11 |
| Last Update Date | 2024-06-11 |