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
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000055LC
BLUE CROSS BLUE SHIELD
TX
01
—
0000CL8261
BLUE CROSS BLUE SHIELD
TX
05
—
16470502
—
TX
01
—
45D0858722
CLIA
TX
01
—
P00061050
RAILROAD MEDICARE
TX
Enumeration date
09/14/2006
Last updated
05/11/2009
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