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NPI Code Detail

MEDICARE: PATHOLOGY AFFILLATES OF HOUSTON PLLC

MEDICARE: PATHOLOGY AFFILLATES OF HOUSTON PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207ZP0102XAnatomic Pathology & Clinical Pathology Physician
2207ZC0500XCytopathology Physician
3207ZP0213XPediatric Pathology Physician
4207ZB0001XBlood Banking & Transfusion Medicine Physician
5207ZI0100XImmunopathology Physician
6207ZN0500XNeuropathology Physician
7207ZH0000XHematology (Pathology) Physician
8207SC0300XClinical Cytogenetics Physician
9204E00000XOral & Maxillofacial Surgery (D.M.D.)
10207ZM0300XMedical Microbiology Physician
11207ZF0201XForensic Pathology Physician
12207ZD0900XDermatopathology (Pathology) Physician

General Provider Information

NPI Number : 1114983012
Entity Type Code : Organization
Provider Name (Legal Business Name) : PATHOLOGY AFFILLATES OF HOUSTON PLLC
Provider Business Mailing Address
First Line : PO BOX 741169
Second Line :
City : HOUSTON
State : TX
Zip : 77274-1169
Country : US
Telephone Number : 713-456-5271
Fax Number : 713-456-5202
Provider Business Practice Location Address
First Line : 7600 BEECHNUT
Second Line : 2ND FLOOR DEPARTMENT OF PATHOLOGY
City : HOUSTON
State : TX
Zip : 77074
Country : US
Telephone Number : 723-456-5000
Fax Number : 713-456-5262
Authorized Official
Title or Position : PRESIDENT
Name : RICHARD WAYNE BROWN
Credential : MD
Telephone Number : 713-456-5271
Provider Enumeration Date : 04/21/2006
Last Update Date : 09/11/2025

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