Medical Center Laboratory
NPI #1336178193 in Waxahachie, Texas
Provider Information
- NPI Number
- 1336178193
- Entity Type
- Organization
- Organization Name
- Medical Center Laboratory
- Primary Specialty
- Clinical Medical Laboratory
- Enumeration Date
- Jul 2, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 201 FERRIS AVENUE
- City
- Waxahachie
- State
- Texas
- ZIP Code
- 75165
- Phone
- (972) 937-7310
Authorized Official
- Name
- DR. BRETT MCKINNEY THACKER, MD
- Title
- OWNER MEDICAL DIRECTOR
- Phone
- (972) 937-7310
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinical Medical Laboratory |
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