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Organization

EAST TEXAS PATHOLOGY LABORATORIES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MELISSA YARBROUGH (VP OPERATIONS)
(214) 536-5634
Entity
Organization

Contact information

Practice address
134 ROSEDALE DR, ATHENS, TX 75751-3625
(903) 675-0080
Mailing address
PO BOX 730, CADDO MILLS, TX 75135-0730
(903) 675-0080

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
J2242
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0085PV
BCBS
TX
Enumeration date
06/16/2009
Last updated
06/18/2009
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