Organization
TEXANS TOXICOLOGY LABORATORY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TEODULO E. AVES M.D. (MD/PRESIDENT)
(713) 863-7246
Entity
Organization
Contact information
Practice address
25319 INTERSTATE 45, SUITE 101, SPRING, TX 77380-3549
(936) 242-0376
(936) 242-0377
Mailing address
25319 INTERSTATE 45, SUITE 101, SPRING, TX 77380-3549
(936) 242-0376
(936) 242-0377
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
08/10/2015
Last updated
08/10/2015
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