Organization
IVAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALFREDO TINAJERO (MANAGER)
(281) 212-7807
Entity
Organization
Contact information
Practice address
3708 W DAVIS ST, SUITE I, CONROE, TX 77304-1865
(936) 441-2021
(936) 441-0737
Mailing address
3708 W DAVIS ST, SUITE I, CONROE, TX 77304-1865
(936) 441-2021
(936) 441-0737
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
45D2026535
TX
Other
Enumeration date
08/09/2011
Last updated
03/14/2012
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