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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
JAMES THOMAS MOLINA M.D., PH.D. (PRESIDENT)
(409) 727-2727
Entity
Organization
Contact information
Practice address
3820 HIGHWAY 365 STE 400, PORT ARTHUR, TX 77642-7565
(409) 727-2727
Mailing address
3820 HIGHWAY 365 STE 400, PORT ARTHUR, TX 77642-7565
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
291U00000X
Clinical Medical Laboratory
45D0707028
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
095206101
—
TX
05
—
095206103
—
TX
Enumeration date
08/31/2006
Last updated
05/06/2009
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