Organization
DERMATOPATHOLOGY SPECIALISTS OF TEXAS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAREN CHAN MD (OWNER)
(617) 319-6667
Entity
Organization
Contact information
Practice address
8534 VILLAGE DR FL 2, SAN ANTONIO, TX 78217-5501
(617) 319-6667
Mailing address
9225 MARYMONT PARK, SAN ANTONIO, TX 78217-3421
(617) 319-6667
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
—
—
Other
Enumeration date
06/06/2021
Last updated
06/06/2021
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