Organization
RED RIVER VALLEY PATHOLOGY, PA
Active
Other names
RRV Pathology Lab
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN WALTER MD (AUTHORIZED OFFICIAL)
(903) 784-7210
Entity
Organization
Contact information
Practice address
801 CLARKSVILLE ST, SUITE C, PARIS, TX 75460-0217
(903) 784-7210
Mailing address
PO BOX 100, PARIS, TX 75461-0100
(903) 783-1437
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
167960701
—
TX
05
—
200037250B
—
OK
Enumeration date
06/22/2006
Last updated
08/08/2023
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