| NPI | 1972148591 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONI D DONNELL Billing & Credential Specialist 832-993-8374 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2019-11-07 |
| Last Update Date | 2020-03-11 |