Organization
ACADEMIC INSTITUTE OF PATHOLOGY INC
Active
Other names
MedAGene Institute of Pathology
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GONZALO URIBE-BOTERO MD (OWNER/PRESIDENT)
(713) 779-1633
Entity
Organization
Contact information
Practice address
6655 HILLCROFT ST, SUITE 100, HOUSTON, TX 77081-4815
(713) 779-1633
(713) 995-5914
Mailing address
6655 HILLCROFT ST, SUITE 100, HOUSTON, TX 77081-4815
(713) 779-1633
(713) 995-5914
Taxonomy
Speciality
Code
Description
License number
State
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
E1956
TX
291U00000X
Clinical Medical Laboratory
E1956
TX
Other
Enumeration date
06/10/2006
Last updated
09/11/2025
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