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Adg Houston Path PLLC

Pathology, Anatomic Pathology & Clinical Pathology in Houston, TX. Organization (NPI-2).

NPI number1659617009
StatusActive
Last updated in NPPESJul 9, 2023

Details

NPI
1659617009
Entity type
Organization (NPI-2)
Legal business name
Adg Houston Path PLLC
Organization subpart
No
Enumeration date
Dec 12, 2012
Certification date
Jul 9, 2023
Last updated
Jul 9, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology––Yes

Other names

  • Adg Houston Path Medical Group (Other Name)

Practice location

2525 W Bellfort Ave Ste 194
Houston, TX 77054-5099

Phone 281-661-1825 · Fax 281-661-7569

Mailing address

2525 W Bellfort Ave Ste 194
Houston, TX 77054-5099

Phone 281-661-1825 · Fax 281-661-7569

Authorized official

Jaryd Stein
President
2133924976

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