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Organization
TEXAS INDEPENDENT DIAGNOSTIC TESTING FACILITY PLLC
Active
Organization
TEXAS INDEPENDENT DIAGNOSTIC TESTING FACILITY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER N PARKS (MANAGER MEMBER)
(918) 550-3552
Entity
Organization
Contact information
Practice address
825 WATTERS CREEK BLVD STE 250, ALLEN, TX 75013-3770
(833) 715-0726
Mailing address
8660 S PEORIA AVE, TULSA, OK 74132-2827
(918) 550-3552
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
—
—
Other
Enumeration date
12/11/2020
Last updated
01/08/2021
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