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Organization

PREMIER HISTOLOGY OF TEXAS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PETER KVAPIL MD (MEMBER)
(214) 377-7210
Entity
Organization

Contact information

Practice address
4560 BELT LINE RD, SUITE 405, ADDISON, TX 75001-4505
(214) 377-7210
Mailing address
PO BOX 540088, HOUSTON, TX 77254-0088
(713) 850-1190
(713) 850-1327

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
291U00000X
Clinical Medical Laboratory
Primary

Other

Enumeration date
07/22/2014
Last updated
11/09/2015
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