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NPI Code Detail

MEDICARE: DIAGNOSTIC PATHOLOGY ASSOCIATES, LLP

MEDICARE: DIAGNOSTIC PATHOLOGY ASSOCIATES, LLP
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

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1407019292
Entity Type Code : Organization
Provider Name (Legal Business Name) : DIAGNOSTIC PATHOLOGY ASSOCIATES, LLP
Provider Business Mailing Address
First Line : 3530 FANNIN ST
Second Line :
City : BEAUMONT
State : TX
Zip : 77701-3805
Country : US
Telephone Number : 409-842-8222
Fax Number : 409-842-8244
Provider Business Practice Location Address
First Line : 3530 FANNIN ST
Second Line :
City : BEAUMONT
State : TX
Zip : 77701-3805
Country : US
Telephone Number : 409-842-8222
Fax Number :
Authorized Official
Title or Position : OFFICE MANAGER
Name : LESLIE CULBERTSON
Credential :
Telephone Number : 409-842-8222
Provider Enumeration Date : 07/02/2008
Last Update Date : 03/16/2026

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Practice Location Address:
3530 FANNIN ST
BEAUMONT, TX
77701-3805
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77701-3805
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1679670681 — DR. JASON EARL MATHERNE M.D.
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3530 FANNIN ST
BEAUMONT, TX
77701-3805
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1275630303 — DR. MICHAEL LEE KESSLER M.D.
Practice Location Address:
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77701-3805
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1558452136 — DR. DAVID JOHN LEHMILLER M.D.
Practice Location Address:
3530 FANNIN ST
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77701-3805
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Practice Fax: 409-842-8244

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