| NPI | 1881746253 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRIS CHALLAPALLI Director 432-333-2934 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZC0500X Pathology, Cytopathology (Licence: TX E5030) |
| Additional Taxonomies | 207ZC0500X Pathology, Cytopathology (Licence: TX L2372) |
| 207ZP0101X Pathology, Anatomic Pathology (Licence: TX E5030) | |
| 207ZP0101X Pathology, Anatomic Pathology (Licence: TX L2372) | |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2020-08-22 |