NPI age
18 years
Enumerated 2007-06-11
Across 167 active pathology providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 | BP1-0018049 | INSTITUTIONAL PERMIT |
| 01 (TX) | M6950 | STATE LICENCE |
Part of a multi-provider practice. 37 other active providers share this practice address in NPPES.
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