NPI age
20 years
Enumerated 2006-02-17
Across 1597 active pathology providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (PA) | 001956529 | |
| 01 (TX) | 8K7025 | MEDICARE |
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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