Organization
SHTH HOLDINGS 2015-1
Active
Other names
SHTH HealthCare, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY EMBREY MD (LAB DIRECTOR)
(817) 809-6817
Entity
Organization
Contact information
Practice address
3101 CHURCHILL DR, SUITE 115-D, FLOWER MOUND, TX 75022-2799
(817) 809-6817
Mailing address
3101 CHURCHILL DR, SUITE 115D, FLOWER MOUND, TX 75022-2799
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
45D2107660
TX
Other
Enumeration date
02/18/2016
Last updated
08/18/2016
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