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NPI Code Detail

MEDICARE: TRIAS PATHOLOGY DIAGNOSTICS PLLC

MEDICARE: TRIAS PATHOLOGY DIAGNOSTICS 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
1207NI0002XClinical & Laboratory Dermatological Immunology Physician

General Provider Information

NPI Number : 1184296790
Entity Type Code : Organization
Provider Name (Legal Business Name) : TRIAS PATHOLOGY DIAGNOSTICS PLLC
Provider Business Mailing Address
First Line : 4550 POST OAK PLACE DR STE 340
Second Line :
City : HOUSTON
State : TX
Zip : 77027-3167
Country : US
Telephone Number : 877-850-6009
Fax Number : 855-919-6009
Provider Business Practice Location Address
First Line : 4550 POST OAK PLACE DR STE 340
Second Line :
City : HOUSTON
State : TX
Zip : 77027-3167
Country : US
Telephone Number : 877-850-6009
Fax Number : 855-919-6009
Authorized Official
Title or Position : DERMATOPATHOLOGIST
Name : DR. MICHAEL P SEDRAK
Credential : MD
Telephone Number : 817-296-0963
Provider Enumeration Date : 07/13/2021
Last Update Date : 01/20/2025

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Directions to “TRIAS PATHOLOGY DIAGNOSTICS PLLC ” Practice Location

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