Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

South Texas Dermatopathology Lab PA

Organization Dermatopathology (Pathology) Physician · NPI 1265431456

South Texas Dermatopathology Lab PA is a Dermatopathology (Pathology) Physician in San Antonio, Texas. Licensed in Texas. Registered with an NPI since 2005.

Licensed in
TX
In the registry since
2005
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1122 Austin Hwy
San Antonio, TX 78209-4844
Phone: (210) 342-6488
Fax: (210) 342-6725
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatopathology (Pathology) Physician (primary) Taxonomy 207ZD0900X · Licence G4960 (TX)

Record details

NPI number1265431456
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Thomas Davis — Laboratory Director · (210) 342-6488
NPI enumeratedJuly 19, 2005
Last updated in NPPESJuly 12, 2012
Mailing address1122 Austin Hwy, San Antonio, TX 78209-4844

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