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Organization

TERESA D TODD MD PA

Active
Other names
Woodland Heights Pathology
Organization subpart
No

Provider details

NPI number
Authorized official
JIAN XIE (AUTHORIZED OFFICIAL)
(626) 350-0537
Entity
Organization

Contact information

Practice address
505 SOUTH JOHN REDDITT DRIVE, DEPARTMENT OF PATHOLOGY, LUFKIN, TX 75904-3120
(936) 634-8311
(936) 637-8545
Mailing address
1111 S FREEPORT PKWY, COPPELL, TX 75019-4435
(866) 588-3280
(972) 767-0225

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0014MN
BLUE CROSS BLUE SHIELD TX
TX
05
172068201
TX
Enumeration date
08/05/2006
Last updated
04/30/2026
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