Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

South Texas Dermatopathology Lab PA

Organization Dermatopathology (Pathology) Physician · NPI 1265431456

South Texas Dermatopathology Lab PA provides Dermatopathology (Pathology) Physician services 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 Not confirmed with CMS for 14 years — call before visiting
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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