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NPI Code Detail

MEDICARE: GYN PATH SERVICES, INC.

MEDICARE: GYN PATH SERVICES, INC.
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
1291U00000XClinical Medical Laboratory

General Provider Information

NPI Number : 1588656748
Entity Type Code : Organization
Provider Name (Legal Business Name) : GYN PATH SERVICES, INC.
Provider Business Mailing Address
First Line : 7760 ALABAMA ST
Second Line :
City : EL PASO
State : TX
Zip : 79904-3136
Country : US
Telephone Number : 915-755-8478
Fax Number : 915-755-7331
Provider Business Practice Location Address
First Line : 7760 ALABAMA ST
Second Line :
City : EL PASO
State : TX
Zip : 79904-3136
Country : US
Telephone Number : 915-755-8478
Fax Number : 915-755-7331
Authorized Official
Title or Position : MEDICAL DIRECTOR
Name : DR. PHILIP A MILES
Credential : M.D.
Telephone Number : 915-755-8478
Provider Enumeration Date : 08/15/2005
Last Update Date : 03/10/2023

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