Organization
TEXAS CHILDRENS HOSPITAL
Active
Other names
Pediatric Pathology Consultants
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES VERSALOVIC M.D., PHD (AUTHORIZED OFFICIAL/LEAD DOCTOR)
(936) 267-5000
Entity
Organization
Contact information
Practice address
17600 INTERSTATE 45 S, STE WL0270, THE WOODLANDS, TX 77384-4193
(936) 267-5000
Mailing address
PO BOX 1907, GREENVILLE, TX 75403-1907
(936) 267-5000
Taxonomy
Speciality
Code
Description
License number
State
207ZB0001X
Blood Banking & Transfusion Medicine Physician
—
—
207ZH0000X
Hematology (Pathology) Physician
—
—
207ZN0500X
Neuropathology Physician
—
—
207ZP0007X
Molecular Genetic Pathology (Pathology) Physician
—
—
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
207ZP0213X
Pediatric Pathology Physician
—
—
208000000X
Pediatrics Physician
—
—
2080P0207X
Pediatric Hematology & Oncology Physician
—
—
Other
Enumeration date
01/30/2017
Last updated
01/30/2017
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