Individual
CAROLYN NIESZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9441 LBJ FWY, 602, DALLAS, TX 75243-4545
(888) 800-7505
Mailing address
9441 LBJ FWY, 602, DALLAS, TX 75243-4545
(888) 800-8744
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
77185
OH
Other
Enumeration date
04/16/2014
Last updated
04/16/2014
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