Active NPI
Gulf Coast Pathology Associates PLLC
- Anatomic Pathology & Clinical Pathology Physician
- Dallas, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- Legal business name
- GULF COAST PATHOLOGY ASSOCIATES PLLC
- Practice address
- 1801 Royal LN Ste 810
Dallas, TX 75229-3169 - Phone
- (469) 886-4700
- Fax
- (214) 871-8609
- NPI assigned
- Jul 23, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Linda Y Liston, CPC
- Title
- Administrator
- Phone
- (936) 234-9557
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatopathology (Pathology) Physician | 207ZD0900X | |||
| Molecular Genetic Pathology (Pathology) Physician | 207ZP0007X | |||
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | Primary |
Addresses
Primary practice location
1801 Royal LN Ste 810
Dallas, TX 75229-3169
Mailing address
1801 Royal LN Ste 810
Dallas, TX 75229-3169
Phone (469) 886-4700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Other NPIs on the same Medicare enrollment 2
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Anatomic Pathology & Clinical Pathology Physician
- Houston, TX
- NPI 1154382679
O20041106000086
-
- Anatomic Pathology & Clinical Pathology Physician
- Houston, TX
- NPI 1336100858
O20041106000086
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
Locations
101 Town and Country Ln
Ste 10
Hazard, KY 41701
1801 Royal Ln
Ste 810
Dallas, TX 75229
Phone (469) 886-4700
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Anatomic Pathology & Clinical Pathology Physician
- Dallas, TX
- NPI 1932401965
-
- Anatomic Pathology & Clinical Pathology Physician
- Arlington, TX
- NPI 1124162482
-
- Anatomic Pathology & Clinical Pathology Physician
- Dallas, TX
- NPI 1699744144
-
- Blood Banking & Transfusion Medicine Physician
- Buffalo, NY
- NPI 1134181324
Molecular Genetic Pathology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626998400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1711411200000",
"number": "1609449941",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1801 ROYAL LN STE 810",
"city": "DALLAS",
"state": "TX",
"postal_code": "752293169",
"telephone_number": "469-886-4700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1801 ROYAL LN STE 810",
"city": "DALLAS",
"state": "TX",
"postal_code": "752293169",
"telephone_number": "469-886-4700",
"fax_number": "214-871-8609"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GULF COAST PATHOLOGY ASSOCIATES PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-07-23",
"last_updated": "2024-03-26",
"certification_date": "2024-03-26",
"status": "A",
"authorized_official_last_name": "LISTON",
"authorized_official_first_name": "LINDA",
"authorized_official_middle_name": "Y",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "936-234-9557",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "CPC"
},
"taxonomies": [
{
"code": "207ZD0900X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Pathology, Dermatopathology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207ZP0007X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Pathology, Molecular Genetic Pathology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.