Organization
GENOME CONSULT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHELLY GUNN MD, PHD (PRESIDENT)
(210) 593-2514
Entity
Organization
Contact information
Practice address
4383 MEDICAL DR STE 4077, SAN ANTONIO, TX 78229-3307
(210) 593-2514
(210) 949-0261
Mailing address
711 NAVARRO ST STE 406, SAN ANTONIO, TX 78205-1867
(210) 593-2514
(210) 949-0261
Taxonomy
Speciality
Code
Description
License number
State
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
M5198
TX
Other
Enumeration date
11/29/2010
Last updated
03/04/2011
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