NPI age
19 years
Enumerated 2006-12-04
Across 88 active pathology providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 184553907 | |
| 01 (CA) | 05D1052995 | MEDICARE |
Part of a multi-provider practice. 35 other active providers share this practice address in NPPES.
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