Organization
BAYLOR PATHOLOGY CONSULTANTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID TITUS (AUTHORIZED REP)
(713) 481-3544
Entity
Organization
Contact information
Practice address
1 BAYLOR PLZ, RM S238, HOUSTON, TX 77030-3411
(713) 481-3544
(713) 349-9641
Mailing address
PO BOX 4698, HOUSTON, TX 77210-4698
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
—
—
291U00000X
Clinical Medical Laboratory
Primary
45D1102910
TX
Other
Enumeration date
10/07/2009
Last updated
10/07/2009
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