MICHAEL T TETZLAFF MD PHD NPI 1053478990

NPI Information

  • NPI: 1053478990
  • Provider Name: MICHAEL T TETZLAFF, MD, PHD
  • Classification: Pathology - 207ZD0900X
  • Specialization: Dermatopathology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1515 HOLCOMBE BLVD
    HOUSTION, TX
    ZIP 77030
  • Phone: (713) 792-6161

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NPI Details

Michael T Tetzlaff, MD, PHD is a dermatopathology pathology in Houstion, TX. The provider is a dermatopathologist is an expert in diagnosing and monitoring diseases of the skin including infectious, immunologic, degenerative, and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings, and smears of skin lesions by means of light microscopy, electron microscopy, and fluorescence microscopy. Michael T Tetzlaff, MD, PHD NPI is 1053478990. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1515 HOLCOMBE BLVD
HOUSTION, TX
ZIP 77030-009
Phone: (713) 792-6161

The NPI 1053478990 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/2/2007 and was last updated on 4/10/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207ZD0900XPathologyDermatopathologyN6711TEXASYes
2207ZP0102XPathologyAnatomic Pathology & Clinical PathologyMT185963PENNSYLVANIANo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1P00881574OTHERTEXASRRMEDICARE
2214426301MEDICAIDTEXAS
38CL001OTHERTEXASBCBS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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