Healthcare Provider Details

I. General information

NPI: 1093984122
Provider Name (Legal Business Name): NORTH TEXAS PATHOLOGY SERVICES PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/22/2008
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7501 LAKEVIEW PKWY STE 160
ROWLETT TX
75088-9327
US

IV. Provider business mailing address

PO BOX 226
ROWLETT TX
75030-0226
US

V. Phone/Fax

Practice location:
  • Phone: 972-526-0340
  • Fax: 972-996-1857
Mailing address:
  • Phone: 972-526-0340
  • Fax: 972-996-1857

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ZP0102X
TaxonomyAnatomic Pathology & Clinical Pathology Physician
License Number
License Number State

VIII. Authorized Official

Name: KIM SNYDER
Title or Position: DIRECTOR OF BILLING
Credential:
Phone: 972-526-0347