Organization
BAYLOR PATHOLOGY CONSULTANTS
Active
Other names
Baylor College of Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID M TITUS (DIRECTOR)
(713) 481-3544
Entity
Organization
Contact information
Practice address
2501 JIMMY JOHNSON BLVD, SUITE 208, PORT ARTHUR, TX 77640-2000
(409) 983-4951
Mailing address
PO BOX 4698, HOUSTON, TX 77210-4698
(713) 481-3544
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
45D1061150
CLIA NUMBER
TX
Enumeration date
07/23/2007
Last updated
03/20/2009
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