NPI: 1679818595 · KINGSVILLE, TX 78363 · Anatomic Pathology & Clinical Pathology Physician · NPI assigned 12/04/2012
| Authorized Official | SIMONSEN, RANDALL (PRESIDENT) |
| NPI Enumeration Date | 12/04/2012 |
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 52 | $766.31 |
| 2021 | 166 | $2K |
| 2022 | 13 | $158.41 |