Whalio Doctors

NPI 1104934165

Kma Diagnostic Specialties

Organisation Physiological Laboratory Lewisville, TX

Practice location

Address
334 W Main St, Lewisville, TX 75057-3866
Phone
(972) 353-3200
Mailing address
10300 N Central Expy Suite 205, Dallas, TX 75231-8600

Authorised official

Name
Tara Campbell Mauney
Title
Director
Phone
(214) 382-1909

Registered specialties

Physiological Laboratory Primary
Laboratories Taxonomy 293D00000X

Registry record

NPI
1104934165
Entity type
Organization
NPI issued
29 Aug 2006
Record last updated
22 Aug 2020

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.