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General NPI Number Information
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NPI Number | 1184296790
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Entity Type | Organization
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Legal Business Name | TRIAS PATHOLOGY DIAGNOSTICS PLLC
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Dates
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Enumeration Date | 07/13/2021
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Last Update Date | 01/20/2025
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Provider Practice Location Address
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Address Line | 4550 POST OAK PLACE DR STE 340
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City | HOUSTON
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State | TX
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Zip | 77027-3167
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Country | US
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Telephone | 877-850-6009
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Fax | 855-919-6009
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Provider Business Mailing Address
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Address Line | 4550 POST OAK PLACE DR STE 340
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City | HOUSTON
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State | TX
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Zip | 77027-3167
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Country | US
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Telephone | 877-850-6009
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Fax | 855-919-6009
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Authorized Official
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Title or Position | DERMATOPATHOLOGIST
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Name | DR. MICHAEL P SEDRAK
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Credential | MD
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Telephone | 817-296-0963
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207NI0002X
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Taxonomy Name | Clinical & Laboratory Dermatological Immunology Physician
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License Number |
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License Number State |
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