Organization
CENETRON DIAGNOSTICS, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DWIGHT DUBOIS M.D. (PRESIDENT)
(512) 439-2000
Entity
Organization
Contact information
Practice address
2111 W BRAKER LN, SUITE 300, AUSTIN, TX 78758-4029
(512) 439-2000
(512) 439-5006
Mailing address
2111 W BRAKER LN, SUITE 300, AUSTIN, TX 78758-4029
(512) 439-2000
(512) 439-5006
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
J6929
TX
Other
Enumeration date
01/25/2008
Last updated
01/25/2008
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