NPI age
18 years
Enumerated 2007-11-20
Across 1597 active pathology providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 11016 | MED DIRECTOR LIC |
| 01 (FL) | 160548 | STATE MED LIC |
| 01 (SC) | 89012 | STATE MED LIC |
| 05 (GA) | 003126490C | |
| 01 (TX) | V0576 | STATE MED LIC |
| 01 (GA) | 059231 | STATE LICENCSE |
| 01 (NC) | 2022-03227 | STATE MED LIC |
| 05 (GA) | 003126490D |
Part of a multi-provider practice. 21 other active providers share this practice address in NPPES.
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