NPI age
19 years
Enumerated 2006-06-15
Across 1597 active pathology providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (OK) | 100167800A | |
| 05 (TX) | 129106401 |
Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.
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