Organization
TEXAS BACK LABS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRENT BRUDWICK (LEGAL)
(972) 924-5794
Entity
Organization
Contact information
Practice address
4316 JAMES CASEY ST BLDG F, SUITE 211, AUSTIN, TX 78745-1116
(972) 924-5794
Mailing address
4316 JAMES CASEY ST BLDG F, SUITE 211, AUSTIN, TX 78745-1116
(972) 924-5794
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
11/14/2016
Last updated
11/14/2016
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