Provider Demographics
NPI:1417985417
Name:TEXAS LABS LTD.
Entity Type:Organization
Organization Name:TEXAS LABS LTD.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER, G.P.
Authorized Official - Prefix:MR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:
Authorized Official - Last Name:RENDON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-614-7823
Mailing Address - Street 1:7271 WURZBACH RD
Mailing Address - Street 2:SUITE 118
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78240-3800
Mailing Address - Country:US
Mailing Address - Phone:210-614-7823
Mailing Address - Fax:210-614-0082
Practice Address - Street 1:7271 WURZBACH RD
Practice Address - Street 2:SUITE 118
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78240-3800
Practice Address - Country:US
Practice Address - Phone:210-614-7823
Practice Address - Fax:210-614-0082
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory