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NPI Code Detail

MEDICARE: NORTH DALLAS PATHOLOGY SERVICES PA

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
1207ZP0102XAnatomic Pathology & Clinical Pathology Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1149052602OTHERTXCSHCN
2MEDICAID 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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1467413534 — BEVERLY ANN DICKSON MD
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1528029485 — VANCE WINBURN BRYAN JR. MD
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Directions to “NORTH DALLAS PATHOLOGY SERVICES PA ” Practice Location

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