Premier Histology Of Texas Llc | |
4560 Belt Line Rd Suite 405 Addison TX 75001-4505 | |
(214) 377-7210 | |
Not Available |
Full Name | Premier Histology Of Texas Llc |
---|---|
Speciality | Clinical Medical Laboratory |
Location | 4560 Belt Line Rd, Addison, Texas |
Authorized Official Name and Position | Peter Kvapil (MEMBER) |
Authorized Official Contact | 2143777210 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Premier Histology Of Texas Llc Po Box 540088 Houston TX 77254-0088 Ph: (713) 850-1190 | Premier Histology Of Texas Llc 4560 Belt Line Rd Suite 405 Addison TX 75001-4505 Ph: (214) 377-7210 |
NPI Number | 1629486659 |
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Provider Enumeration Date | 07/22/2014 |
Last Update Date | 11/09/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1629486659 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Secondary |
291U00000X | Clinical Medical Laboratory | (* (Not Available)) | Primary |
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