NPI 1770352957

Ntx Pathology Program, PLLC

Organisation Anatomic Pathology & Clinical Pathology Physician Fort Worth, TX

Practice location

Address: 3101 N Tarrant Pkwy, Fort Worth, TX 76177-8656
Phone: (817) 639-1180
Mailing address: PO Box 745390, Atlanta, GA 30374-5390

Authorised official

Name: Michael Jamaine Davis
Title: Chief Operations Officer
Phone: (561) 402-4256

Registered specialties

Anatomic Pathology & Clinical Pathology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207ZP0102X

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Registry record

NPI: 1770352957
Entity type: Organization
NPI issued: 28 Dec 2023
Record last updated: 28 Dec 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.