Most Relevant Information
Provider Data
| NPI Number: | 1003648692 |
| Provider Name: | PHILLIP MORRIS BIRDINE LAB DIRECTOR |
| Entity Type: | Individual |
| Taxonomy Code: | 291U00000X |
| Specialty: | Clinical Medical Laboratory |
| License Number: | 45D2308500 |
Most Important Dates
| Enumeration Date: | 08/14/2024 |
| Last Updated: | 08/14/2024 |
Provider Practice Location
525 FORT WORTH DR STE 211
DENTON
TX
762017179
Practice Location Phone/Fax
| Phone: | 9404653822 |
| Fax: |
Provider Mailing Location
525 FORT WORTH DR STE 211
DENTON
TX
762017179
Provider Mailing Phone/Fax
| Phone: | 9404653822 |
| Fax: |