MEDICARE: NORTH DALLAS PATHOLOGY SERVICES PA

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	207ZP0102X	Anatomic Pathology & Clinical Pathology Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	149052602	OTHER	TX	CSHCN
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1548221625
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NORTH DALLAS PATHOLOGY SERVICES PA

Provider Business Mailing Address
First Line	:	PO BOX 420009
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77242-0009
Country	:	US
Telephone Number	:	214-345-7280
Fax Number	:	214-345-4487

Provider Business Practice Location Address
First Line	:	8200 WALNUT HILL LANE
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75231-4402
Country	:	US
Telephone Number	:	214-345-7280
Fax Number	:	214-345-4487

Authorized Official
Title or Position	:	AUTHORIZED OFFICIAL
Name	:	RICHARD L VOET
Credential	:	M.D.
Telephone Number	:	214-345-7280

Provider Enumeration Date	:	03/29/2006
Last Update Date	:	11/09/2023

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Directions to “NORTH DALLAS PATHOLOGY SERVICES PA ” Practice Location

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