Organization
TEXAS CHILDRENS HOSPITAL
Active
Other names
Pediatric Pathology Consultants
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES VERSALOVIC MD (PRESIDENT)
(832) 824-2213
Entity
Organization
Contact information
Practice address
9835 N LAKE CREEK PKWY, AUSTIN, TX 78717-6210
(727) 229-3333
Mailing address
6621 FANNIN ST STE WB1100, HOUSTON, TX 77030-2368
(832) 824-6422
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Enumeration date
12/27/2023
Last updated
12/27/2023
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