BWPG Lykos Labs LLC

Primary specialty

Molecular Genetic Pathology (Pathology) PhysicianTaxonomy code 207ZP0007X

Legal business name

BWPG LYKOS LABS LLC

Practice address

26797 Hanna Rd BLDG 4D1
Oak Ridge North, TX 77385-6628

Phone

(346) 831-0189

NPI assigned

Jun 21, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Gabriel Group Bien-Willner, MD, PHD

Title

Medical Director

Phone

(832) 687-8555

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gabriel Alejandro Bien-Willner, M.D., PH.D.

  • Molecular Genetic Pathology (Pathology) Physician
  • Oak Ridge North, TX
  • NPI 1154573251

  Single Specialty

  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1655769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664496000000",
    "number": "1972234987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26797 HANNA RD BLDG 4D1",
            "city": "OAK RIDGE NORTH",
            "state": "TX",
            "postal_code": "773856628",
            "telephone_number": "346-831-0189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26797 HANNA RD BLDG 4D1",
            "city": "OAK RIDGE NORTH",
            "state": "TX",
            "postal_code": "773856628",
            "telephone_number": "346-831-0189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BWPG LYKOS LABS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-21",
        "last_updated": "2022-09-30",
        "certification_date": "2022-09-30",
        "status": "A",
        "authorized_official_last_name": "BIEN-WILLNER",
        "authorized_official_first_name": "GABRIEL",
        "authorized_official_middle_name": "GROUP",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "832-687-8555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, PHD"
    },
    "taxonomies": [
        {
            "code": "207ZP0007X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Molecular Genetic Pathology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabriel Alejandro Bien-Willner, M.D., PH.D.
• Leonard M Bohanon, PHD
• Dialyspa III, LLC
• Fresenius Medical Care Oak Ridge, LLC
• Puja Gupta
• Beth Jones, OT
• Lauren C Leroy, D.C.

• Molecular Genetic Pathology (Pathology) Physician in Oak Ridge North, TX
• Providers in Oak Ridge North, TX by specialty
• Molecular Genetic Pathology (Pathology) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.