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General NPI Number Information
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NPI Number | 1215995584
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Entity Type | Organization
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Legal Business Name | METHODIST PATHOLOGY ASSOCIATES PLLC
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Dates
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Enumeration Date | 05/03/2006
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Last Update Date | 07/29/2025
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Provider Practice Location Address
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Address Line | 6565 FANNIN STREET MS205
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City | HOUSTON
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State | TX
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Zip | 77030
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Country | US
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Telephone | 346-238-5867
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Fax | 713-441-3849
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Provider Business Mailing Address
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Address Line | PO BOX 4701
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City | HOUSTON
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State | TX
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Zip | 77210-4701
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Country | US
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Telephone | 346-238-5867
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Fax | 419-866-5453
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Authorized Official
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Title or Position | AUTHORIZED REPRESENTATIVE
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Name | DR. KATHRYN STOCKBAUER
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Credential |
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Telephone | 346-238-5867
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207ZP0213X
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Taxonomy Name | Pediatric Pathology Physician
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License Number |
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 207ZB0001X
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Taxonomy Name | Blood Banking & Transfusion Medicine Physician
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License Number |
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 207ZC0500X
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Taxonomy Name | Cytopathology Physician
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License Number |
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License Number State | TX
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Taxonomy #5
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Taxonomy Code | 207ZH0000X
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Taxonomy Name | Hematology (Pathology) Physician
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License Number |
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License Number State | TX
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Taxonomy #6
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Taxonomy Code | 207ZN0500X
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Taxonomy Name | Neuropathology Physician
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License Number |
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License Number State | TX
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Taxonomy #7
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Taxonomy Code | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number |
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License Number State | TX
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