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NPI Code Detail

MEDICARE: HOUSTON PATHOLOGY ASSOCIATES

MEDICARE: HOUSTON PATHOLOGY ASSOCIATES
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
1207ZP0102XAnatomic Pathology & Clinical Pathology Physician

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1CJ3968OTHERTXRAILROAD MEDICARE

General Provider Information

NPI Number : 1952385676
Entity Type Code : Organization
Provider Name (Legal Business Name) : HOUSTON PATHOLOGY ASSOCIATES
Provider Business Mailing Address
First Line : PO BOX 420995
Second Line :
City : HOUSTON
State : TX
Zip : 77242-0995
Country : US
Telephone Number : 877-787-9677
Fax Number : 855-697-2447
Provider Business Practice Location Address
First Line : 7600 FANNIN ST
Second Line :
City : HOUSTON
State : TX
Zip : 77054-1906
Country : US
Telephone Number : 713-481-3540
Fax Number : 713-432-0221
Authorized Official
Title or Position : AUTHORIZED OFFICIAL
Name : JOHN CANGELOSI
Credential : MD
Telephone Number : 713-559-6929
Provider Enumeration Date : 12/06/2005
Last Update Date : 08/10/2023

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Directions to “HOUSTON PATHOLOGY ASSOCIATES ” Practice Location

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