Organization
UT PHYSICIANS
Active
Other names
UT PHYSICIANS-PATHOLOGY LAB
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT HUNTER M.D. (CHAIRMAN, PATHOLOGY DEPT)
(713) 500-5301
Entity
Organization
Contact information
Practice address
6411 FANNIN ST, HOUSTON, TX 77030-1501
(713) 500-5301
(713) 500-0732
Mailing address
PO BOX 200138, HOUSTON, TX 77216-0138
(713) 500-5301
(713) 500-0732
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
025551501
—
TX
01
—
CQ2182
RR MEDICARE
TX
Enumeration date
01/07/2008
Last updated
10/20/2009
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