Organization
FIRST DIVERSIFIED MEDICAL CONSULTING LP
Active
Other names
VALENCE LABORATORY
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL HENDERSON MD (MEDICAL DIRECTOR)
(305) 230-4191
Entity
Organization
Contact information
Practice address
5908 STONE CREEK DR, SUITE 130 A, LEWISVILLE, TX 75056-2637
(305) 230-4191
Mailing address
5908 STONE CREEK DR, SUITE 130 A, LEWISVILLE, TX 75056-2637
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
01/02/2017
Last updated
01/02/2017
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