South Texas Dermatopathology Lab Pa
LBN: South Texas Dermatopathology Lab Pa
South Texas Dermatopathology Lab Pa is an health care organization with primary practice located at 1122 Austin Hwy , San Antonio TX 78209-4844. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatopathology, which is considered as the primary health care specialty.
South Texas Dermatopathology Lab Pa can be contacted via phone (210) 342-6488, or through Davis, Thomas L via phone (210) 342-6488.
Contact Information
Primary practice address
1122 Austin Hwy
San Antonio TX 78209-4844
Phone: (210) 342-6488
Fax: (210) 342-6725
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatopathology | 207ZD0900X | G4960 | Texas |
Profile Details
| NPI number | 1265431456 |
|---|---|
| LBN Legal business name | South Texas Dermatopathology Lab Pa |
| DBA Doing business as | |
| Authorized official | Davis, Thomas L Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 19th, 2005 |
| Last updated | Jul 12th, 2012 - about 13 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1265431456 | NPPES |
| North Dakota | MEDICAID | 13211 | |
| North Dakota | MEDICAID | 0421345 | |
| North Dakota | MEDICAID | 110795501 | |
| North Dakota | MEDICAID | 100245340A | |
| North Dakota | Other | 90013183 | |
| North Dakota | Other | 690004679 | |
| North Dakota | MEDICAID | 912055600 | |
| North Dakota | MEDICAID | 116882 |
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