Organization
NTX PATHOLOGY PROGRAM, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL JAMAINE DAVIS (CHIEF OPERATIONS OFFICER)
(561) 402-4256
Entity
Organization
Contact information
Practice address
7777 FOREST LN, DALLAS, TX 75230-2571
(972) 566-6400
Mailing address
PO BOX 745690, ATLANTA, GA 30374-5690
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Enumeration date
01/04/2024
Last updated
01/04/2024
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