W2020 Vision-Dt, LLC

NPI #1255083994 in Live Oak, Texas

Provider Information

NPI Number
1255083994
Entity Type
Organization
Organization Name
W2020 Vision-Dt, LLC
Primary Specialty
Clinical Medical Laboratory
Enumeration Date
Jan 24, 2022
Last Updated
Mar 28, 2022

Practice Location

Address
12702 TOEPPERWEIN RD STE 209
State
Texas
ZIP Code
78233-3250
Phone
(210) 570-5302

Authorized Official

Name
MR. DENNIS LAMAR PARKS JR.
Title
PRESIDENT
Phone
(210) 392-4567

Specialties & Taxonomy Codes

Specialty
Clinical Medical Laboratory

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