MEDICARE: UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT HOUSTON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	207ZP0102X	Anatomic Pathology & Clinical Pathology Physician
2	207ZP0101X	Anatomic Pathology Physician
3	207ZP0105X	Clinical Pathology/Laboratory Medicine Physician

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	CD3416	OTHER	TX	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	J518	OTHER	TX	BCBS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1831142751
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT HOUSTON

Provider Business Mailing Address
First Line	:	PO BOX 301025
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75303-1025
Country	:	US
Telephone Number	:	281-407-2479
Fax Number	:	713-993-7056

Provider Business Practice Location Address
First Line	:	6431 FANNIN STREET
Second Line	:	MSB 2.136
City	:	HOUSTON
State	:	TX
Zip	:	77030-1501
Country	:	US
Telephone Number	:	713-500-5301
Fax Number	:	713-500-0695

Authorized Official
Title or Position	:	SENIOR EVP, COO
Name	:	THOMAS KEVIN DILLON
Credential	:
Telephone Number	:	713-500-3535

Provider Enumeration Date	:	05/19/2006
Last Update Date	:	12/01/2025

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Directions to “UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT HOUSTON ” Practice Location

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