Organization
EAST TEXAS PATHOLOGY, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER CHARLES ISAAC M.D. (DIRECTOR)
(409) 813-1500
Entity
Organization
Contact information
Practice address
3080 MILAM ST, BEAUMONT, TX 77701-4828
(409) 813-1500
(409) 813-1133
Mailing address
PO BOX 20457, BEAUMONT, TX 77720-0457
(409) 813-1500
(409) 813-1133
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
11/15/2005
Last updated
08/22/2020
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