Organization
COMPLETE DX LIMITED LIABILITY COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL BAKER (OWNER)
(210) 601-5313
Entity
Organization
Contact information
Practice address
14711 CHANT ST, SAN ANTONIO, TX 78248-1109
(210) 601-5313
(210) 479-4057
Mailing address
14711 CHANT ST, SAN ANTONIO, TX 78248-1109
(210) 601-5313
(210) 479-4057
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
293D00000X
Physiological Laboratory
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
02/23/2010
Last updated
05/05/2010
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