NPI age
8 years
Enumerated 2018-04-17
Across 1597 active pathology providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | V2330 | TEXAS PHYSICIAN LICENSE |
| 05 (TX) | 679981 |
Solo or small practice. No other active providers share this practice address in NPPES.
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