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NPI Code Detail

MEDICARE: VILLAGE OAKS PATHOLOGY SERVICES, P.A.

MEDICARE: VILLAGE OAKS PATHOLOGY SERVICES, P.A.
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
1207ZP0101XAnatomic Pathology Physician
2207ZP0102XAnatomic Pathology & Clinical Pathology Physician

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2CP4247OTHERTXMEDICARE RAILROAD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
100D11NOTHERTXBCBS
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1730138397
Entity Type Code : Organization
Provider Name (Legal Business Name) : VILLAGE OAKS PATHOLOGY SERVICES, P.A.
Provider Business Mailing Address
First Line : 3300 NACOGDOCHES RD STE 110
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78217-3368
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3300 NACOGDOCHES RD
Second Line : SUITE 110
City : SAN ANTONIO
State : TX
Zip : 78217-3373
Country : US
Telephone Number : 210-646-0890
Fax Number : 210-646-9191
Authorized Official
Title or Position : PRESIDENT
Name : ROBY P. JOYCE
Credential : M.D.
Telephone Number : 210-757-5113
Provider Enumeration Date : 05/09/2006
Last Update Date : 10/17/2024

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1043280126 — DR. LILIA P WOJCIK MD
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1295794949 — DR. STEVEN JAMES PECKHAM MD
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1548303712 — VILLAGE OAKS PATHOLOGY SERVICES, P. A.
Practice Location Address:
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78217-3373
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1699973016 — DR. ELENA LAVROVSKAYA M.D.
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SAN ANTONIO, TX
78217-3373
Practice Phone: 210-646-0890
Practice Fax: 210-646-7764

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