OrganizationActive
Northside Pathology Group, PLLC
NPI 1649597931 · Anatomic Pathology & Clinical Pathology Physician · Houston, TX
Provider details
- NPI number
- 1649597931
- Entity type
- Organization
- Primary specialty
- Anatomic Pathology & Clinical Pathology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Mario Cervantes-Vazquez, President / Manager Member(832) 638-6072
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
510 W Tidwell Rd
Pathology Dept.
Houston, TX 77091-4339
Phone: (281) 618-8504
Fax: (713) 401-0770
Street-level locationGet directions
Mailing address
510 W Tidwell Rd
Houston, TX 77091-4339
Other names (DBA / former)
- Other name
- Npg
- Other name
- Npg
Registry dates
- Enumerated
- 2010-04-26
- Last updated
- 2020-04-21
- Certified
- 2020-04-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.