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Organization
PATHOLOGY ASSOCIATES OF NORTH TEXAS, P A
Active
Organization
PATHOLOGY ASSOCIATES OF NORTH TEXAS, P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANN YANCEY (INSURANCE SUPERVISOR)
(940) 322-8800
Entity
Organization
Contact information
Practice address
1209 BROOK AVE, WICHITA FALLS, TX 76301-5601
(940) 322-7284
(940) 322-8938
Mailing address
1209 BROOK AVE, WICHITA FALLS, TX 76301-5601
(940) 247-7347
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
45D0659922
TX
207ZP0101X
Anatomic Pathology Physician
Primary
45D0659922
TX
291U00000X
Clinical Medical Laboratory
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
120719304
—
TX
01
—
CL0687
BLUE CROSS
TX
Enumeration date
05/15/2006
Last updated
01/20/2026
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