Healthcare Provider Details

I. General information

NPI: 1558587832
Provider Name (Legal Business Name): ACCUTEST DIAGNOSTICS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/17/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13306 LAKESIDE TERRACE DR
HOUSTON TX
77044-5242
US

IV. Provider business mailing address

13306 LAKESIDE TERRACE DR
HOUSTON TX
77044-5242
US

V. Phone/Fax

Practice location:
  • Phone: 713-927-6126
  • Fax:
Mailing address:
  • Phone: 713-927-6126
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NN0400X
TaxonomyNeurology Chiropractor
License NumberDC7910
License Number StateTX

VIII. Authorized Official

Name: DR. JEFFREY RAY HAMILTON
Title or Position: PRESIDENT
Credential: D.C.
Phone: 713-927-6126