Provider Type Icon

PEDIATRIC UROLOGY OF CENTRAL TEXAS NPI 1508932112


NPI Information

NPI: 1508932112
Provider Name: PEDIATRIC UROLOGY OF CENTRAL TEXAS

Other Name: CHILDRENS UROLOGY

Classification: Urology - 2088P0231X
Entity Type: Organization

Specialization: Pediatric Urology

CLIA Number: 45D2123850

Address:
1301 BARBARA JORDAN BLVD
SUITE 302
AUSTIN, TX
ZIP 78723
Phone: (512) 472-6134
Get Directions

PEDIATRIC UROLOGY OF CENTRAL TEXAS is a pediatric urology urology in Austin, TX. The provider is 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 provide the following services: the evaluation and management of voiding disorders; vesicoureteral reflux, and urinary tract infections that require surgery; surgical reconstruction of the urinary tract (kidneys, ureters, and bladder) including genital abnormalities, hypospadias, and intersex conditions; surgery for groin conditions in childhood and adolescence (undescended testes, hydrocele/hernia, varicocele). PEDIATRIC UROLOGY OF CENTRAL TEXAS NPI is 1508932112. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Childrens Urology.

The provider's business location address is:

1301 BARBARA JORDAN BLVD
SUITE 302
AUSTIN, TX
ZIP 78723-077
Phone: (512) 472-6134
Fax: (512) 472-1528

The provider's authorized official is George M Seremetis .
The authorized official title is Owner and has the following contact phone number (512) 472-6134.

The CLIA number assigned to this NPI record is 45D2123850 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/27/2006 and was last updated on 4/8/2015.


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
12088P0231XUrologyPediatric UrologyYes

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: 11/14/2023

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.