GREATER AUSTIN UROLOGY PLLC NPI 1215443064

NPI Information

  • NPI: 1215443064
  • Provider Name: GREATER AUSTIN UROLOGY, PLLC
  • Classification: Urology - 208800000X
  • Entity Type: Organization
  • Address: 11673 JOLLYVILLE RD STE B101
    AUSTIN, TX
    ZIP 78759
  • Phone: (512) 540-3937

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NPI Details

GREATER AUSTIN UROLOGY, PLLC is an urology in Austin, 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. GREATER AUSTIN UROLOGY, PLLC NPI is 1215443064. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

11673 JOLLYVILLE RD STE B101
AUSTIN, TX
ZIP 78759
Phone: (512) 540-3937

The provider's authorized official is Lucas Jacomides .
The authorized official title is Owner/principal and has the following contact phone number (512) 540-3937.

The enumeration date for this NPI number is 12/15/2017 and was last updated on 5/29/2018.

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
1208800000XUrologyYes

What is NPI?

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

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