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Organization

TEXAS HEALTH LAB LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JONSHAE CHAVALIER-WILSON (OWNER)
(832) 403-9531
Entity
Organization

Contact information

Practice address
755 S 11TH ST, BEAUMONT, TX 77701-3732
(832) 403-9531
Mailing address
PO BOX 670391, HOUSTON, TX 77267-0391

Taxonomy

Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary

Other

Enumeration date
01/16/2020
Last updated
01/16/2020
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