Healthcare Provider Details

I. General information

NPI: 1184007114
Provider Name (Legal Business Name): FEDERAL TOXICOLOGY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/08/2015
Last Update Date: 07/08/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2809 MILLER RANCH RD SUITE 425
PEARLAND TX
77584-9725
US

IV. Provider business mailing address

2809 MILLER RANCH RD SUITE 425
PEARLAND TX
77584-9725
US

V. Phone/Fax

Practice location:
  • Phone: 832-667-8132
  • Fax: 281-664-5899
Mailing address:
  • Phone: 832-667-8132
  • Fax: 281-664-5899

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State

VIII. Authorized Official

Name: DR. GARY E KRAUS
Title or Position: REGISTERED AGENT
Credential: M.D.
Phone: 832-667-8132