NPI 1003648692

Phillip Morris Birdine, LABDIRECTOR

Practitioner Clinical Medical Laboratory Denton, TX

Practice location

Address: 525 Fort Worth Dr STE 211, Denton, TX 76201-7179
Phone: (940) 465-3822

Registered specialties

Clinical Medical Laboratory Primary

Laboratories Taxonomy 291U00000X Licence 45D2308500 (TX)

Other Clinical Medical Laboratory providers in Texas →

Registry record

NPI: 1003648692
Entity type: Individual
Sex (as registered): Male
NPI issued: 14 Aug 2024
Record last updated: 14 Aug 2024

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.