Organization
WISE PATHOLOGY ASSOCIATES P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LILY WU (OFFICE MANAGER)
(817) 637-2114
Entity
Organization
Contact information
Practice address
609 MEDICAL CENTER DR STE 2300, DECATUR, TX 76234-3802
(940) 626-0120
(940) 263-3116
Mailing address
P O BOX, LOCKBOX 421479, HOUSTON, TX 77242-1479
(817) 637-2114
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Enumeration date
06/02/2022
Last updated
08/29/2022
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