Urology Center Of East Texas, P.A. in Athens - Specialist
Urology Center Of East Texas, P.A. - NPI 1720097694
Urology Center Of East Texas, P.A. is a Specialist in Athens, Texas. Urology Center Of East Texas, P.A. practices all healthcare services and medical treatments related to Specialist. The NPI Number for Urology Center Of East Texas, P.A. is 1720097694. The last update date is 2015-04-15.
Urology Center Of East Texas, P.A.'s current location address is 1701 South Palestine, Athens, Texas. You can contact this provider via phone number 9036759339 and fax number 9036759344. The mailing address for Urology Center Of East Texas, P.A. is 1701 South Palestine, Athens, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Urology Center Of East Texas, P.A. |
|---|---|
| Address | 1701 South Palestine, Athens, Texas |
| Phone Number | 9036759339 |
| Fax Number | 9036759344 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ADMINISTRA |
|---|---|
| Authorized Official Name | Burton Juanice |
| Telephone Number | 9036759339 |
NPI Number Detail
| NPI Number | 1720097694 |
|---|---|
| Provider Enumeration Date | 2006-08-07 |
| Last Updated Date | 2015-04-15 |
Provider Mailing Address Detail
| Address | 1701 South Palestine |
|---|---|
| City | Athens |
| State | Texas (TX) |
| Post Code | 757515739 |
| Phone Number | 9036759339 |
| Fax Number | 9036759344 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 0806614-03 | TX | -- | |
| 00901R | TX | BCBS |
Post Comment/ Review Below
What is the unique identifier code issued to Urology Center Of East Texas, P.A. by the Centers for Medicare & Medicaid Services (CMS)?
The Urology Center Of East Texas, P.A. has been assigned the NPI (National Provider Identifier) 1720097694. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you kindly provide the complete physical address where Urology Center Of East Texas, P.A.'s facilities are geographically located?
The facilities of Urology Center Of East Texas, P.A. are physically situated at the following location: 1701 South Palestine, Athens, TX, 757515739.
What is Urology Center Of East Texas, P.A.'s specialized field of practice, and what is the corresponding taxonomy classification code?
The Urology Center Of East Texas, P.A.'s area of specialization is Specialist, and the corresponding taxonomy code that categorizes this field of practice is 174400000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1720097694 to Urology Center Of East Texas, P.A.?
The Centers for Medicare & Medicaid Services originally issued the 1720097694 to Urology Center Of East Texas, P.A. on 2006-08-07.
As of what date was the information regarding Urology Center Of East Texas, P.A., such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Urology Center Of East Texas, P.A., including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2015-04-15.