Genome Consult, Llc

NPI 1093017949 - Pathology - 207ZP0105X

NPI Details
NPI 1093017949
Enumeration Date 11/29/2010
Last Updated 03/04/2011
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name SHELLY SHELLY
Position PRESIDENT
Phone (210) 593-2514
Fax (210) 949-0261
Practice Location
4383 MEDICAL DR STE 4077
SAN ANTONIO TX, 78229-3307, US
Phone (210) 593-2514
Fax (210) 949-0261
Business Location
711 NAVARRO ST STE 406
SAN ANTONIO TX, 78205-1867, US
Phone (210) 593-2514
Fax (210) 949-0261
Toxanomy
Taxonomy Code 207ZP0105X
License State Texas
License Number M5198
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According to our database, Genome Consult, Llc NPI is 1093017949, taxonomy code is 207ZP0105X and license number is M5198, license state is located at Texas. Genome Consult, Llc physically located at 4383 Medical Dr Ste 4077, San Antonio TX, 78229-3307. NPI Number 1033115704 has the healthcare provider type.

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1093017949 NPI number is provided on an as is basis without warranty of any kind. 1093017949 is maintained by the National Plan & Provider Enumeration System. The contents of Genome Consult, Llc are for informational purposes only.