Organization
ST. JOSEPH DERMATOPATHOLOGY, P.A.
Active
Organization
ST. JOSEPH DERMATOPATHOLOGY, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAIME ANTONIO TSCHEN M.D. (DIRECTOR)
(713) 660-9444
Entity
Organization
Contact information
Practice address
6909 GREENBRIAR ST, HOUSTON, TX 77030-3205
(713) 660-9444
(713) 660-9466
Mailing address
6909 GREENBRIAR ST, HOUSTON, TX 77030-3205
(713) 660-9444
(713) 660-9466
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
E8980
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000055LC
BCBS
TX
01
—
0000CL8261
BCBS
TX
05
—
164670501
—
TX
01
—
45D0858722
CLIA
TX
01
—
P00061050
RR MEDICARE
TX
Enumeration date
10/17/2006
Last updated
05/11/2009
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