Provider Demographics
NPI:1225354111
Name:PRECISE PATHOLOGY ASSOCIATES PLLC
Entity Type:Organization
Organization Name:PRECISE PATHOLOGY ASSOCIATES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:P
Authorized Official - Last Name:JIMENEZ QUINTERO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:832-299-6608
Mailing Address - Street 1:PO BOX 133102
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77393-3102
Mailing Address - Country:US
Mailing Address - Phone:281-701-4871
Mailing Address - Fax:
Practice Address - Street 1:10847 KUYKENDAHL RD STE 200
Practice Address - Street 2:
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77382-2933
Practice Address - Country:US
Practice Address - Phone:832-299-6608
Practice Address - Fax:832-299-6608
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-16
Last Update Date:2016-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207ZP0101XAllopathic & Osteopathic PhysiciansPathologyAnatomic PathologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX2183022Medicaid
TXTXB109679Medicare PIN