Organization
GULF COAST PATHOLOGY ASSOCIATES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LINDA Y LISTON CPC (ADMINISTRATOR)
(936) 234-9557
Entity
Organization
Contact information
Practice address
1801 ROYAL LN STE 810, DALLAS, TX 75229-3169
(469) 886-4700
(214) 871-8609
Mailing address
1801 ROYAL LN STE 810, DALLAS, TX 75229-3169
(469) 886-4700
Taxonomy
Speciality
Code
Description
License number
State
207ZD0900X
Dermatopathology (Pathology) Physician
—
—
207ZP0007X
Molecular Genetic Pathology (Pathology) Physician
—
—
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Enumeration date
07/23/2021
Last updated
03/26/2024
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