Organization
EAST HOUSTON PATHOLOGY GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GERALD E HOFFMAN D.O. (AUTHORIZED REP)
(713) 481-3540
Entity
Organization
Contact information
Practice address
13111 EAST FWY, HOUSTON, TX 77015-5820
(713) 481-3540
(713) 432-0221
Mailing address
PO BOX 421209, HOUSTON, TX 77242-1209
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CD1792
RAILROAD MEDICARE
TX
Enumeration date
12/06/2005
Last updated
03/20/2009
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