NPI age
17 years
Enumerated 2008-10-23
● Active Type 2 · Organization
Subpart
Genetic Diagnostic Group
Genetic Diagnostic Group is 1 of 5 medical genetics organizations in Texas.
Primary specialty
Medical Genetics
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Fairbanks
Vice President
Last NPPES update
2011-02-24
Source: monthly bulk 2026-05
How this organization compares
Across 5 active medical genetics providers in Texas.
NPI age
17 years
≈ at median (17 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2008 → 2026
2008-10Enumerated in NPPES
2008
2026
Where they practice
Primary practice location
6000 Harry Hines Blvd, Hamon Bldg, Room Na2 508a
Dallas, TX 753900001
Mailing address
Po Box 845347
Dallas, TX 752845347
Authorized official
Bruce Fairbanks
Vice President
📞 2146480309
Individual providers at this organization
3 individual providers on file at this primary practice address.
- Julianna Hudnall Clinic/Center NPI 1407211667
- Prasad Koduru, PHD Technician, Pathology NPI 1508145830
- Kathleen Wilson, MD Pathology NPI 1184711582
Specialties
-
Medical Genetics PrimaryA clinical biochemical geneticist demonstrates competence in performing and interpreting biochemical analyses relevant to the diagnosis and management of human genetic diseases and is a consultant regarding laboratory diagnosis of a...
Practice context
Multi-provider organization. 3 individual providers on file at this primary address.
Subpart of University Of Texas Southwestern Medical Center At Dallas.
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