Organization
INTEGRATED HEALTH DIAGNOSTICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MANI BALA M.D. (MEDICAL DIRECTOR)
(512) 779-1376
Entity
Organization
Contact information
Practice address
10713 N RANCH ROAD 620, BLDGE E STE 525, AUSTIN, TX 78726-1756
(512) 779-1376
Mailing address
10713 N RANCH ROAD 620, BLDGE E STE 525, AUSTIN, TX 78726-1756
(512) 779-1376
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
02/05/2015
Last updated
02/05/2015
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