Wise Pathology Associates P.a.

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

Legal business name

WISE PATHOLOGY ASSOCIATES P.A.

Practice address

609 Medical Center Dr Ste 2300
Decatur, TX 76234-3802

Phone

(940) 626-0120

Fax

(940) 263-3116

NPI assigned

Jun 2, 2022

Last updated

Aug 29, 2022By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Lily Wu

Title

Office Manager

Phone

(817) 637-2114

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1654128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661731200000",
    "number": "1023757432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P O BOX",
            "address_2": "LOCKBOX 421479",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772421479",
            "telephone_number": "817-637-2114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 MEDICAL CENTER DR STE 2300",
            "city": "DECATUR",
            "state": "TX",
            "postal_code": "762343802",
            "telephone_number": "940-626-0120",
            "fax_number": "940-263-3116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISE PATHOLOGY ASSOCIATES P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-02",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-25",
        "status": "A",
        "authorized_official_last_name": "WU",
        "authorized_official_first_name": "LILY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "817-637-2114"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sangwu@hotmail.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "sangwu@hotmail.com",
            "address_1": "609 Medical Center Dr",
            "city": "Decatur",
            "state": "TX",
            "country_code": "US",
            "postal_code": "762343836",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Wise County Health Services (Wise Choice Medical)
• Wise County Medical & Surgical Association
• Wise County Medical & Surgical Association
• Wise Emergency Medicine Associates PA
• Wise Obstetrics & Gynecology PA
• Wise Pathology Laboratories LLC (Wise Pathology Laboratories)
• Wise Pediatrics PA
• Wise Performance Physical Therapy Limited Partnership
• Wise Performance Physical Therapy Limited Partnership
• Yba Consulting Inc (Medical Center Pharmacy)

• Anatomic Pathology & Clinical Pathology Physician in Decatur, TX
• Providers in Decatur, TX by specialty
• Anatomic Pathology & Clinical Pathology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.