NPI age
20 years
Enumerated 2005-12-23
Across 1597 active pathology providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (KY) | 64-081839 | |
| 01 (IN) | 200456080 | MEDICAID |
Part of a multi-provider practice. 4085 other active providers share this practice address in NPPES.
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