Individual
MR. AZMAT SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
813 N. O'CONNOR ROAD, IRVING, TX 75061
(855) 890-9589
(855) 395-9673
Mailing address
813 N. O'CONNOR ROAD, IRVING, TX 75061
(855) 890-9589
(855) 395-9673
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
45D2095863
TX
Other
Enumeration date
06/10/2015
Last updated
06/10/2015
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