Organization
PRINCIPLE GENETICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BLAKE WERNER (MANAGER)
(832) 549-8355
Entity
Organization
Contact information
Practice address
16840 BUCCANEER LN, SUITE 5, HOUSTON, TX 77058-2507
(832) 549-8355
Mailing address
16840 BUCCANEER LN, SUITE 5, HOUSTON, TX 77058-2507
(832) 549-8355
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
45D2123176
TX
Other
Enumeration date
01/11/2017
Last updated
01/11/2017
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