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NPI 1629869896 · Clinical Medical Laboratory · Willis, TX
Provider details
- NPI number
- 1629869896
- Entity type
- Organization
- Primary specialty
- Clinical Medical LaboratoryLaboratories
- Organization subpart
- No
- Authorized official
- Alice Mccowan, Manager(832) 736-4085
Specialties & taxonomies
Laboratories
Practice location
12568 Canyon Hill Dr
Willis, TX 77318-5742
Phone: (936) 444-9271
Approximate (ZIP-level) locationGet directions
Mailing address
1910 Pacific Ave Ste 2000
Dallas, TX 75201-4540
Registry dates
- Enumerated
- 2025-05-15
- Last updated
- 2025-05-15
- Certified
- 2025-05-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.