Provider Demographics
NPI:1184296790
Name:TRIAS PATHOLOGY DIAGNOSTICS PLLC
Entity type:Organization
Organization Name:TRIAS PATHOLOGY DIAGNOSTICS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DERMATOPATHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:P
Authorized Official - Last Name:SEDRAK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:817-296-0963
Mailing Address - Street 1:4550 POST OAK PLACE DR STE 340
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77027-3167
Mailing Address - Country:US
Mailing Address - Phone:877-850-6009
Mailing Address - Fax:855-919-6009
Practice Address - Street 1:4550 POST OAK PLACE DR STE 340
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77027-3167
Practice Address - Country:US
Practice Address - Phone:877-850-6009
Practice Address - Fax:855-919-6009
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-13
Last Update Date:2025-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207NI0002XAllopathic & Osteopathic PhysiciansDermatologyClinical & Laboratory Dermatological ImmunologyGroup - Single Specialty