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Northside Pathology Group, Pllc

Anatomic Pathology & Clinical Pathology Physician in Houston, TX · enumerated 2010 · authorized official Mario Cervantes-Vazquez, President / Manager Member.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1649597931

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Registry record

Entity type Organization (Type 2)
Legal business name Northside Pathology Group, Pllc
Other name <Unavail>
Practice address 510 W Tidwell Rd, Pathology Dept., Houston, TX, 77091
Fax (713) 401-0770
Enumeration date Apr 26, 2010
Last updated in NPPES Apr 21, 2020

Taxonomy & classification

207ZP0102X Anatomic Pathology & Clinical Pathology Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Mario Cervantes-Vazquez
Title President / Manager Member

Other identifiers

Identifier Type State Issuer
TXB104047 Other TX MEDICARE GROUP PTAN
217596001 Medicaid TX -
45D2028677 Other TX CLIA

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What type of organization is Northside Pathology Group, Pllc?
Northside Pathology Group, Pllc is registered in NPPES as a Anatomic Pathology & Clinical Pathology Physician (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-04-21.