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General NPI Number Information
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NPI Number | 1588764955
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Entity Type | Organization
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Legal Business Name | PINEYWOODS PATHOLOGY PA
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Dates
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Enumeration Date | 09/25/2006
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Last Update Date | 02/12/2026
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Provider Practice Location Address
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Address Line | 1201 W FRANK MEMORIAL MEDICAL CENTER
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City | LUFKIN
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State | TX
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Zip | 75904
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Country | US
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Telephone | 936-639-7886
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 421479
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City | HOUSTON
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State | TX
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Zip | 77242-1479
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Country | US
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Telephone | 936-238-7931
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Fax | 936-238-7969
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Authorized Official
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Title or Position | PROVIDER PRESIDENT
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Name | DAVID L TODD
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Credential | MD
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Telephone | 936-639-7886
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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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