Provider Demographics
NPI:1306251145
Name:NORTH DALLAS PATHOLOGY SERVICES, P.A.
Entity type:Organization
Organization Name:NORTH DALLAS PATHOLOGY SERVICES, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:L
Authorized Official - Last Name:VOET
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:214-345-7280
Mailing Address - Street 1:8200 WALNUT HILL LN
Mailing Address - Street 2:DEPATMENT OF PATHOLOGY
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75231-4426
Mailing Address - Country:US
Mailing Address - Phone:214-345-7280
Mailing Address - Fax:
Practice Address - Street 1:3000 N I-35
Practice Address - Street 2:DEPARTMENT OF PATHOLOGY
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76201-5119
Practice Address - Country:US
Practice Address - Phone:940-898-7000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-30
Last Update Date:2020-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical PathologyGroup - Multi-Specialty