Organization
MISSION DERMATOPATHOLOGY LABORATORY, LLC
Active
Organization
MISSION DERMATOPATHOLOGY LABORATORY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY DENNIS ALTMEYER MD (OWNER)
(210) 664-4675
Entity
Organization
Contact information
Practice address
2620 MCCULLOUGH AVE, SAN ANTONIO, TX 78212-3022
(210) 314-9898
Mailing address
2620 MCCULLOUGH AVE, SAN ANTONIO, TX 78212-3022
(210) 664-4675
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
N9998
TX
207ZD0900X
Dermatopathology (Pathology) Physician
Primary
N9998
TX
Other
Enumeration date
06/26/2018
Last updated
07/18/2024
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