# THE DELTA PATHOLOGY GROUP LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548258973
- **Authorized official:** DR. WILLIAM WESCHE MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (318) 621-8200

## Contact information

- **Practice address:** 2915 MISSOURI AVE, SHREVEPORT, LA 71109-4327
- **Practice address phone:** (318) 364-2000
- **Mailing address:** PO BOX 3780, TUPELO, MS 38803-3780
- **Mailing address phone:** (318) 841-9523
- **Mailing address fax:** (318) 841-9551

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | — | NULL | Yes |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/10/2005
- **Last updated:** 07/02/2020