Provider First Line Business Practice Location Address:
510 W TIDWELL RD
Provider Second Line Business Practice Location Address:
PATHOLOGY / LABORATORY
Provider Business Practice Location Address City Name:
HOUSTON
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77091-4339
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
832-443-9071
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/09/2010