Organization
PBM PATHOLOGY SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER ALLEN DYSERT (MANAGING PARTNER)
(214) 818-9122
Entity
Organization
Contact information
Practice address
2709 N BEN WILSON ST, VICTORIA, TX 77901-5728
(361) 575-1111
Mailing address
3600 GASTON AVE STE 261, DALLAS, TX 75246-1902
(972) 966-7877
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
12/03/2020
Last updated
12/03/2020
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