MEDICARE: PRECISIONPATH DIAGNOSTICS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207KI0005X	Clinical & Laboratory Immunology (Allergy & Immunology) Physician

General Provider Information

NPI Number	:	1821944059
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PRECISIONPATH DIAGNOSTICS LLC

Provider Business Mailing Address
First Line	:	5 EUREKA CIR STE C
Second Line	:
City	:	WICHITA FALLS
State	:	TX
Zip	:	76308-2900
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5 EUREKA CIR STE C
Second Line	:
City	:	WICHITA FALLS
State	:	TX
Zip	:	76308-2900
Country	:	US
Telephone Number	:	972-951-6530
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DAMIEN FRALIN
Credential	:
Telephone Number	:	972-951-6530

Provider Enumeration Date	:	03/09/2026
Last Update Date	:	03/09/2026

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