Provider Demographics
NPI:1639485709
Name:EXAM SERVICES OF TX, LLC
Entity Type:Organization
Organization Name:EXAM SERVICES OF TX, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:BRASHAUN
Authorized Official - Middle Name:
Authorized Official - Last Name:WADE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-650-5060
Mailing Address - Street 1:1269 RECORD CROSSING RD
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75235-6001
Mailing Address - Country:US
Mailing Address - Phone:214-650-5060
Mailing Address - Fax:972-499-7339
Practice Address - Street 1:1269 RECORD CROSSING RD
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75235-6001
Practice Address - Country:US
Practice Address - Phone:214-650-5060
Practice Address - Fax:972-499-7339
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-26
Last Update Date:2010-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory