NPI age
16 years
Enumerated 2010-04-26
● Active Type 2 · Organization
Northside Pathology Group, Pllc
Northside Pathology Group, Pllc is 1 of 1597 pathology organizations in Texas.
Primary specialty
Pathology
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Cervantes-Vazquez
President / Manager Member
Last NPPES update
2020-04-21
Source: monthly bulk 2026-05
How this organization compares
Across 1597 active pathology providers in Texas.
NPI age
16 years
↓ 3 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2010 → 2026
2010-04Enumerated in NPPES
2010
2026
Where they practice
Primary practice location
510 W Tidwell Rd, Pathology Dept.
Houston, TX 770914339
Mailing address
510 W Tidwell Rd
Houston, TX 770914339
Authorized official
Mario Cervantes-Vazquez, M.D.
President / Manager Member
📞 8326386072
Individual providers at this organization
2 individual providers on file at this primary practice address.
- Zatul Amin-Sankar, M.D. Anesthesiology NPI 1689665176
- Jimmi Cornett, RN-ANP Nurse Practitioner NPI 1710018924
Specialties
-
Pathology PrimaryA pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | TXB104047 | MEDICARE GROUP PTAN |
| 05 (TX) | 217596001 | |
| 01 (TX) | 45D2028677 | CLIA |
Other names on file (2)
Doing-business-as, former, and alternate names recorded by NPPES.
-
NPG
-
NPG
Practice context
Multi-provider organization. 2 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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