NPI 1063665941

Genetic Diagnostic Group

Organisation Clinical Biochemical Genetics Physician Dallas, TX

Practice location

Address: 6000 Harry Hines Blvd Hamon Bldg, Room Na2 508a, Dallas, TX 75390-0001
Phone: (214) 645-0624
Mailing address: PO Box 845347, Dallas, TX 75284-5347

Authorised official

Name: Bruce Fairbanks
Title: Vice President
Phone: (214) 648-0309

Registered specialties

Clinical Biochemical Genetics Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207SG0202X

Other Medical Genetics providers in Texas →

Registry record

NPI: 1063665941
Entity type: Organization
NPI issued: 23 Oct 2008
Record last updated: 24 Feb 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.