| NPI | 1932158623 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY FORE Owner 713-631-7425 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: TX 45D1035724) |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2008-06-23 |