NPI age
18 years
Enumerated 2008-02-11
Across 1597 active pathology providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 | G7325 | TX MED LICENSE |
| 01 (TX) | 274782ZUQA | MEDICARE PTAN |
| 05 (TX) | 113327402 |
Part of a multi-provider practice. 7 other active providers share this practice address in NPPES.
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