Organization
AMERIPATH PAT 5.01(A) CORPORATION
Active
Other names
Harris Methodist Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN A. DILLEMUTH (ASST. TREASURY)
(561) 712-6242
Entity
Organization
Contact information
Practice address
1401 PENNSYLVANIA AVE, FORT WORTH, TX 76104-2113
(817) 878-5637
(817) 878-5698
Mailing address
14275 MIDWAY RD, SUITE 400, ADDISON, TX 75001-3614
(214) 932-8234
(214) 932-8284
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
TX
Other
Enumeration date
10/03/2006
Last updated
08/22/2020
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