Active NPI
Baylor Pathology Consultants
- Clinical Medical Laboratory
- Conroe, TX
National Provider Identifier
1679808745
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- 45D1103376
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 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 Consul
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Clinical Medical Laboratory
- Houston, TX
- NPI 1609850445
-
- Clinical Medical Laboratory
- Houston, TX
- NPI 1225363393
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.