Btdi Jv LLP

NPI #1265870604 in Southlake, Texas

Provider Information

NPI Number: 1265870604
Entity Type: Organization
Organization Name: Btdi Jv LLP
Subpart: Yes (part of a larger organization)
Parent Organization: BTDI JV LLP
Primary Specialty: Physiological Laboratory
Enumeration Date: Jun 7, 2013
Last Updated: Nov 8, 2023

Practice Location

Address: 925 E SOUTHLAKE BLVD STE 120&220
City: Southlake
State: Texas
ZIP Code: 76092-1476
Phone: (817) 424-4800

Authorized Official

Name: KATRINA ROELLE
Title: DIRECTOR OF CREDENTIALING
Phone: (614) 689-1691

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physiological Laboratory	293D00000X	Primary

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