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Organization

THE TELOS GROUP

Active
Parent organization
THE TELOS GROUP
Other names
Telos Laboratory
Organization subpart
Yes

Provider details

NPI number
Legal business name
THE TELOS GROUP
Authorized official
DONALD JEREMIAH HART (OWNER)
(214) 454-2417
Entity
Organization

Contact information

Practice address
6975 DEER RUN DR, WATAUGA, TX 76137-6730
(817) 201-3828
(817) 766-7935
Mailing address
6975 DEER RUN DR, WATAUGA, TX 76137-6730
(817) 201-3828
(817) 766-7935

Taxonomy

Speciality
Code
Description
License number
State
247ZC0005X
Clinical Laboratory Director (Non-physician)
Primary

Other

Enumeration date
12/29/2021
Last updated
12/29/2021
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