Organization
MANGINI, LAKHIA AND ASSOCIATES, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JERRY GAUTHIER MD (VICE PRESIDENT)
(713) 271-6881
Entity
Organization
Contact information
Practice address
1140 BUSINESS CENTER DR STE 370, HOUSTON, TX 77043-2742
(714) 271-6881
Mailing address
PO BOX 733025, DALLAS, TX 75373-2225
(713) 271-6881
(713) 271-6885
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
—
—
207ZH0000X
Hematology (Pathology) Physician
—
—
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
082948301
—
TX
Enumeration date
03/21/2006
Last updated
06/06/2024
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