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UROLOGY CLINICS OF NORTH TEXAS PLLC NPI 1114186616


NPI Information

NPI: 1114186616
Provider Name: UROLOGY CLINICS OF NORTH TEXAS, PLLC
Classification: Urology - 208800000X
Entity Type: Organization

CLIA Number: 45D2262358

Address:
6124 W PARKER RD
SUITE 434
PLANO, TX
ZIP 75093
Phone: (214) 691-1902
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UROLOGY CLINICS OF NORTH TEXAS, PLLC is an urology in Plano, TX. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. UROLOGY CLINICS OF NORTH TEXAS, PLLC NPI is 1114186616. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

6124 W PARKER RD
SUITE 434
PLANO, TX
ZIP 75093-122
Phone: (214) 691-1902
Fax: (214) 987-1845

The provider's authorized official is Jerri D Wilson .
The authorized official title is Ceo and has the following contact phone number (214) 691-1902.

The CLIA number assigned to this NPI record is 45D2262358 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/9/2008 and was last updated on 3/7/2017.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085R0001XRadiologyRadiation OncologyK3232TEXASNo
22088P0231XUrologyPediatric UrologyG9345TEXASNo
3208800000XUrologyM0918TEXASYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10036DEOTHERTEXASBCBS GROUP
200119XMEDICARE PINTEXAS
3CI6341OTHERTEXASRRMCR GROUP
4CI6342OTHERTEXASRRMCR GROUP
5119844202MEDICAIDTEXAS
600494KMEDICARE PINTEXAS

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.