Organization
LIFE INCUBATOR MOBILE PATERNITY TESTING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NEKIMA HORTON (OWNER)
(972) 400-3527
Entity
Organization
Contact information
Practice address
5900 S LAKE FOREST DR STE 300, MCKINNEY, TX 75070-2238
(972) 400-3527
Mailing address
1660 GINGER DR, LANCASTER, TX 75146-4937
(972) 400-3527
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M1721
MEDICAL DIRECTORS TEXAS MEDICAL LICENSE
TX
Enumeration date
10/05/2021
Last updated
10/05/2021
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