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General NPI Number Information
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NPI Number | 1336431212
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Entity Type | Organization
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Legal Business Name | PATHOLOGY HEALTH ASSOCIATES OF TEXAS
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Dates
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Enumeration Date | 05/10/2011
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Last Update Date | 05/10/2011
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Provider Practice Location Address
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Address Line | 2201 MOCKINGBIRD LN
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City | FLOWER MOUND
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State | TX
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Zip | 75022-7891
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Country | US
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Telephone | 214-755-3351
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Fax |
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Provider Business Mailing Address
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Address Line | 2201 MOCKINGBIRD LN
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City | FLOWER MOUND
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State | TX
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Zip | 75022-7891
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Country | US
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Telephone | 214-755-3351
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Fax |
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Authorized Official
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Title or Position | CHEIF MEDICAL OFFICER-CMO
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Name | DR. MICHAEL ROBLES ROBLES
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Credential | DO
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Telephone | 214-755-3351
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State | TX
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