Individual
MR. PHILLIP MORRIS BIRDINE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAB DIRECTOR
Contact information
Practice address
525 FORT WORTH DR STE 211, DENTON, TX 76201-7179
(940) 465-3822
Mailing address
525 FORT WORTH DR STE 211, DENTON, TX 76201-7179
(940) 465-3822
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
45D2308500
TX
Other
Enumeration date
08/14/2024
Last updated
08/14/2024
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