Organization
MEMORIAL PATHOLOGY CONSULTANTS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD WAYNE BROWN MD (PRESIDENT)
(832) 412-8670
Entity
Organization
Contact information
Practice address
9250 PINECROFT DR DEPT OF, SHENANDOAH, TX 77380-3218
(832) 412-8670
(713) 456-5202
Mailing address
PO BOX 671130, DALLAS, TX 75267-1130
(512) 861-0080
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
—
—
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
183707201
—
TX
Enumeration date
04/21/2006
Last updated
10/20/2021
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