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Organization

LEGACY LABORATORY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
THINH PHAN MD (OWNER)
(281) 292-7411
Entity
Organization

Contact information

Practice address
26010 OAK RIDGE DR, STE 100, THE WOODLANDS, TX 77380-1972
(281) 292-7411
(281) 292-7481
Mailing address
1544 SAWDUST RD, STE 280, SPRING, TX 77380-2929
(281) 292-7411
(281) 292-7481

Taxonomy

Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
54411
CA

Other

Enumeration date
04/04/2013
Last updated
11/30/2016
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