Organization Active NPI

Baylor Pathology Consultants

  • Clinical Medical Laboratory
  • Conroe, TX
National Provider Identifier
1679808745
Registry record updated Oct 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
45D1103376 Issued in TX
Legal business name
BAYLOR PATHOLOGY CONSULTANTS
Practice address
500 Medical Center Blvd
Suite 360a
Conroe, TX 77304-2889
Phone
(713) 481-3544
Fax
(713) 349-9641
NPI assigned
Oct 7, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2009

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

Authorized official

Name
Mr. David Titus
Title
Authorized Rep
Phone
(713) 481-3544

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207ZP0102X
Clinical Medical Laboratory 291U00000X 45D1103376 TX Primary

Addresses

Primary practice location

500 Medical Center Blvd
Suite 360a
Conroe, TX 77304-2889

Mailing address

PO Box 4698
Houston, TX 77210-4698

National Provider Directory

National Provider Directory
Tax ID family
Baylor Pathology Consul3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

500 Medical Center Blvd
Ste 360A
Conroe, TX 77304
Phone (713) 481-3544

NPI Registry JSON

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

{
    "created_epoch": "1254873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254873600000",
    "number": "1679808745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4698",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772104698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 MEDICAL CENTER BLVD",
            "address_2": "SUITE 360A",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773042889",
            "telephone_number": "713-481-3544",
            "fax_number": "713-349-9641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYLOR PATHOLOGY CONSULTANTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-07",
        "last_updated": "2009-10-07",
        "status": "A",
        "authorized_official_last_name": "TITUS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "AUTHORIZED REP",
        "authorized_official_telephone_number": "713-481-3544",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "TX",
            "license": "45D1103376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conroe, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2009; 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.