Organization
TEXAS DIAGNOSTIC LABORATORIES INC
Active
Organization
TEXAS DIAGNOSTIC LABORATORIES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HAZEM H BADRAN ND, MS (CEO)
(512) 619-4904
Entity
Organization
Contact information
Practice address
3303 NORTHLAND DR, AUSTIN, TX 78731-4945
(512) 419-9111
Mailing address
PO BOX 28662, AUSTIN, TX 78755-8662
(512) 619-4904
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
208D00000X
General Practice Physician
—
—
Other
Enumeration date
11/09/2010
Last updated
01/13/2011
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