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Organization
RED RIVER VALLEY PATHOLOGY, PA
Active
Organization
RED RIVER VALLEY PATHOLOGY, PA
Active
Other names
RRV Pathology Lab
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN WALTER MD (AUTHORIZED OFFICIAL)
(903) 784-7210
Entity
Organization
Contact information
Practice address
801 CLARKSVILLE ST, SUITE C, PARIS, TX 75460-0217
(903) 784-7210
Mailing address
PO BOX 100, PARIS, TX 75461-0100
(903) 783-1437
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
167960701
—
TX
05
—
200037250B
—
OK
Enumeration date
06/22/2006
Last updated
08/08/2023
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