Organization
GULF COAST PATHOLOGY ASSOCIATES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN OLIVER (CFO)
(214) 871-8616
Entity
Organization
Contact information
Practice address
2525 W BELLFORT AVE STE 194, HOUSTON, TX 77054-5099
(281) 661-1825
(214) 871-8609
Mailing address
PO BOX 840127, DALLAS, TX 75284-0127
(469) 886-4700
(214) 871-8609
Taxonomy
Speciality
Code
Description
License number
State
207ZB0001X
Blood Banking & Transfusion Medicine Physician
—
—
207ZC0500X
Cytopathology Physician
—
—
207ZF0201X
Forensic Pathology Physician
—
—
207ZH0000X
Hematology (Pathology) Physician
—
—
207ZN0500X
Neuropathology Physician
—
—
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
080828901
—
TX
Enumeration date
04/01/2006
Last updated
03/26/2024
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