Urology Clinics Of North Texas, Pllc in Dallas - Pediatric Urology

Urology Clinics Of North Texas, Pllc - NPI 1114186616

Urology Clinics Of North Texas, Pllc is a Pediatric Urology in Dallas, Texas. Urology Clinics Of North Texas, Pllc practices all healthcare services and medical treatments related to Pediatric Urology. The NPI Number for Urology Clinics Of North Texas, Pllc is 1114186616. The last update date is 2017-03-07.

Urology Clinics Of North Texas, Pllc's current location address is 3600 Gaston Ave, Dallas, Texas. You can contact this provider via phone number 2146928262 and fax number 2146964190. The mailing address for Urology Clinics Of North Texas, Pllc is 3600 Gaston Ave, Dallas, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Organization Urology Clinics Of North Texas, Pllc
Address 3600 Gaston Ave, Dallas, Texas
Phone Number 2146928262
Fax Number 2146964190
Sole Proprietor --
Credentials --

Authorized Official

Title or Position CEO
Authorized Official Name Wilson D Jerri
Telephone Number 2146911902

NPI Number Detail

NPI Number 1114186616
Provider Enumeration Date 2008-06-09
Last Updated Date 2017-03-07

Provider Mailing Address Detail

Address 3600 Gaston Ave
City Dallas
State Texas (TX)
Post Code 752461800
Phone Number 2146928262
Fax Number 2146964190

Provider's Primary Taxonomy Detail

Speciality Pediatric Urology
Taxonomy 2088P0231X
Licence No G9345
Definition:
Surgeons who can diagnose, treat, and manage children's urinary and genital problems. A pediatric urologist devotes a minimum of 50% of his or her practice to the urologic problems of infants, children, and adolescents. Pediatric urologists generally

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
0036DE TX BCBS GROUP
CI6341 TX RRMCR GROUP
CI6342 TX RRMCR GROUP
119844202 TX --

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FAQs about Urology Clinics Of North Texas, Pllc

What is the Urology Clinics Of North Texas, Pllc's 1114186616?

The Urology Clinics Of North Texas, Pllc's NPI (National Provider Identifier) Number is 1114186616. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Urology Clinics Of North Texas, Pllc's facilities are geographically located?

The facilities of Urology Clinics Of North Texas, Pllc are physically situated at the following location: 3600 Gaston Ave, Dallas, TX, 752461800.

What is Urology Clinics Of North Texas, Pllc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Urology Clinics Of North Texas, Pllc is Pediatric Urology, and the taxonomy code that categorizes this field of expertise is 2088P0231X.

On what date did the Urology Clinics Of North Texas, Pllc receive the assignment of its 1114186616 from the Centers for Medicare & Medicaid Services?

The Urology Clinics Of North Texas, Pllc was issued its 1114186616 by the Centers for Medicare & Medicaid Services on 2008-06-09.

As of what date were the Urology Clinics Of North Texas, Pllc's details last updated?

The information pertaining to the Urology Clinics Of North Texas, Pllc, including its address, specialty, and other details, was most recently updated on 2017-03-07.

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