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Contact Information

NORTH TEXAS MEDICAL LABORATORY
5420 KELL WEST BLVD.
WICHITA FALLS, TX76301
 Phone: 940-692-5888
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anatomic Pathology & Clinical Pathology

207ZP0102X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for NORTH TEXAS MEDICAL LABORATORY · (Female)

NPI Number 1184728354
Status Active
Credentials
Entity Individual
Enumeration date 09/11/2006
Last updated 04/21/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers
  • TX Medicaid 141630701
  • TX Other 00M224 BLUE SHIELD
  • TX Other CS4601 RR MEDICARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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