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Organization

MASTERPATH PATHOLOGY CONSULTANTS, P.A.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JAMES THOMAS MOLINA M.D., PH.D. (CHIEF OPERATING OFFICER)
(409) 727-2727
Entity
Organization

Contact information

Practice address
2909 S HAMPTON RD STE F126, DALLAS, TX 75224-3000
(214) 623-4593
Mailing address
PO BOX 658, STAFFORD, TX 77497-0658

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
177351701
TX
Enumeration date
10/12/2006
Last updated
11/19/2008
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