Organization
BEAUMONT PATHOLOGY ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES THOMAS MOLINA MD, PHD (AUTHORIZED OFFICIAL)
(409) 236-1633
Entity
Organization
Contact information
Practice address
2830 CALDER ST, BEAUMONT, TX 77702-1809
(409) 299-3214
Mailing address
PO BOX 421479, HOUSTON, TX 77242-1479
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
093662701
—
TX
Enumeration date
03/16/2006
Last updated
11/06/2024
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