Organization
GULF COAST PATHOLOGY PROGRAM PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WADE KORDONOWY (DIVISION VP)
(713) 852-1762
Entity
Organization
Contact information
Practice address
1313 HERMANN DR, HOUSTON, TX 77004-7005
(713) 527-5000
Mailing address
PO BOX 746559, ATLANTA, GA 30374-6559
(954) 507-6780
(866) 262-5507
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Enumeration date
05/26/2021
Last updated
09/17/2021
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