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NPI Code Detail

MEDICARE: METHODIST PATHOLOGY ASSOCIATES PLLC

MEDICARE: METHODIST PATHOLOGY ASSOCIATES 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
1207ZB0001XBlood Banking & Transfusion Medicine Physician
2207ZC0500XCytopathology Physician
3207ZH0000XHematology (Pathology) Physician
4207ZN0500XNeuropathology Physician
5207ZP0213XPediatric Pathology Physician
6207ZP0102XAnatomic 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

General Provider Information

NPI Number : 1508824806
Entity Type Code : Organization
Provider Name (Legal Business Name) : METHODIST PATHOLOGY ASSOCIATES PLLC
Provider Business Mailing Address
First Line : PO BOX 4701
Second Line :
City : HOUSTON
State : TX
Zip : 77210-4701
Country : US
Telephone Number : 346-238-5867
Fax Number : 419-866-5453
Provider Business Practice Location Address
First Line : 16655 SOUTHWEST FWY
Second Line :
City : SUGAR LAND
State : TX
Zip : 77479-2329
Country : US
Telephone Number : 346-238-5867
Fax Number : 713-441-3849
Authorized Official
Title or Position : AUTHORIZED REPRESENTATIVE
Name : KATHRYN STOCKBAUER
Credential :
Telephone Number : 346-238-5867
Provider Enumeration Date : 05/03/2006
Last Update Date : 07/29/2025

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