NPI age
19 years
Enumerated 2006-07-06
Across 25 active pathology providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 197421403 | |
| 01 (TX) | 8L29115 | MEDICARE |
Part of a multi-provider practice. 415 other active providers share this practice address in NPPES.
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