NPI age
17 years
Enumerated 2009-03-18
Across 34 active pathology providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | E0942 | STATE LICENSE |
| 01 (TX) | E59111 | UPIN |
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
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