OrganizationActive
4 Real Group, LLC
NPI 1013206630 · Clinical Medical Laboratory · Desoto, TX
Provider details
- NPI number
- 1013206630
- Entity type
- Organization
- Primary specialty
- Clinical Medical LaboratoryLaboratories
- Authorized official
- Eric Tucker, Owner
Practice location
613 Worley Glen Ave
Desoto, TX 75115-3321
Phone: (214) 277-9814
Fax: (214) 613-1583
Mailing address
Po Box 2587
Rowlett, TX 75030-2587
Registry dates
- Enumerated
- 2011-04-05
- Last updated
- 2022-03-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.