NPI age
20 years
Enumerated 2005-11-10
Across 1597 active pathology providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 103904205 | CIDC |
| 05 (TX) | 103904203 | |
| 05 (TX) | 103900022 | |
| 05 (NM) | 76973 |
Part of a multi-provider practice. 224 other active providers share this practice address in NPPES.
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