MEDICARE: PATHOLOGY ASSOCIATES OF NORTH TEXAS, 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
1	291U00000X	Clinical Medical Laboratory
2	207ZC0500X	Cytopathology Physician	45D0659922	TX
3	207ZP0101X	Anatomic Pathology Physician	45D0659922	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	CL0687	OTHER	TX	BLUE CROSS

General Provider Information

NPI Number	:	1740231471
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PATHOLOGY ASSOCIATES OF NORTH TEXAS, P A

Provider Business Mailing Address
First Line	:	1209 BROOK AVE
Second Line	:
City	:	WICHITA FALLS
State	:	TX
Zip	:	76301-5601
Country	:	US
Telephone Number	:	940-247-7347
Fax Number	:

Provider Business Practice Location Address
First Line	:	1209 BROOK AVE
Second Line	:
City	:	WICHITA FALLS
State	:	TX
Zip	:	76301-5601
Country	:	US
Telephone Number	:	940-322-7284
Fax Number	:	940-322-8938

Authorized Official
Title or Position	:	INSURANCE SUPERVISOR
Name	:	ANN YANCEY
Credential	:
Telephone Number	:	940-322-8800

Provider Enumeration Date	:	05/15/2006
Last Update Date	:	01/20/2026

Similar Medicare Providers

1447337068 — STEPHANIE GANSCHOW PHARMD
Practice Location Address:

2500 E 52ND ST N , CIGNA MEDICARE SERVICES
SIOUX FALLS, SD
57104-7106

Practice Phone: 605-373-0100
Practice Fax:

1376545335 — DAVID A FLACK M. D.
Practice Location Address:

1209 BROOK AVE
WICHITA FALLS, TX
76301-5601

Practice Phone: 940-322-7284
Practice Fax: 940-322-8938

1700888765 — PHILIP G HUDKINS M. D.
Practice Location Address:

1209 BROOK AVE
WICHITA FALLS, TX
76301-5601

Practice Phone: 940-322-7284
Practice Fax: 940-322-8938

1750383717 — DENNIS D REINKE M. D.
Practice Location Address:

1209 BROOK AVE
WICHITA FALLS, TX
76301-5601

Practice Phone: 940-322-7284
Practice Fax: 940-322-8938

1023018470 — EID B MUSTAFA MD
Practice Location Address:

1201 BROOK AVE
WICHITA FALLS, TX
76301-5601

Practice Phone: 940-322-1122
Practice Fax: 940-767-8918

1528043585 — RANDOLPH CLAUDE SOSOLIK M. D.
Practice Location Address:

1209 BROOK AVE
WICHITA FALLS, TX
76301-5601

Practice Phone: 940-322-7284
Practice Fax: 940-322-8938

Directions to “PATHOLOGY ASSOCIATES OF NORTH TEXAS, P A ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.