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Organization
GULF COAST PATHOLOGY PROGRAM PLLC
Active
Organization
GULF COAST PATHOLOGY PROGRAM PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL JAMAINE DAVIS (CHIEF OPERATIONS OFFICER)
(954) 507-6764
Entity
Organization
Contact information
Practice address
9711 N SAM HOUSTON PKWY E, HUMBLE, TX 77396-4482
(281) 348-8279
Mailing address
PO BOX 746559, ATLANTA, GA 30374-6559
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Enumeration date
10/12/2021
Last updated
10/12/2021
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