NPIMap

Organization Active NPI

Gulf Coast Pathology Program PLLC

  • Anatomic Pathology & Clinical Pathology Physician
  • Humble, TX
National Provider Identifier
1033871561
Registry record updated Oct 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
Legal business name
GULF COAST PATHOLOGY PROGRAM PLLC
Practice address
9711 N Sam Houston Pkwy E
Humble, TX 77396-4482
Phone
(281) 348-8279
NPI assigned
Oct 12, 2021
Last updated
Oct 12, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2021

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

Authorized official

Name
Michael Jamaine Davis
Title
Chief Operations Officer
Phone
(954) 507-6764

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X NU Primary

Addresses

Primary practice location

9711 N Sam Houston Pkwy E
Humble, TX 77396-4482

Mailing address

PO Box 746559
Atlanta, GA 30374-6559

National Provider Directory

National Provider Directory
Tax ID family
Gulf Coast Pathology Program PLLC15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

Organizations that report the same tax identification number in the National Provider Directory.

View all 14

Locations

9711 N Sam Houston Pkwy E
Humble, TX 77396
Phone (281) 441-6520

NPI Registry JSON

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

{
    "created_epoch": "1633996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633996800000",
    "number": "1033871561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746559",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9711 N SAM HOUSTON PKWY E",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773964482",
            "telephone_number": "281-348-8279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULF COAST PATHOLOGY PROGRAM PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-12",
        "last_updated": "2021-10-12",
        "certification_date": "2021-10-12",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JAMAINE",
        "authorized_official_title_or_position": "CHIEF OPERATIONS OFFICER",
        "authorized_official_telephone_number": "954-507-6764"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Humble, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2021; 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.