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Organization
MASTERPATH PATHOLOGY CONSULTANTS, P.A.
Active
Organization
MASTERPATH PATHOLOGY CONSULTANTS, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES THOMAS MOLINA M.D., PH.D. (CHIEF OPERATING OFFICER)
(409) 727-2727
Entity
Organization
Contact information
Practice address
2909 S HAMPTON RD STE F126, DALLAS, TX 75224-3000
(214) 623-4593
Mailing address
PO BOX 658, STAFFORD, TX 77497-0658
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
177351701
—
TX
Enumeration date
10/12/2006
Last updated
11/19/2008
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