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URODEL INC NPI 1417073750


NPI Information

NPI: 1417073750
Provider Name: URODEL INC
Classification: Urology - 208800000X
Entity Type: Organization
Address:
305 E GARFIELD ST
DEL RIO, TX
ZIP 78840
Phone: (830) 775-3025
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URODEL INC is an urology in Del Rio, 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. URODEL INC NPI is 1417073750. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

305 E GARFIELD ST
DEL RIO, TX
ZIP 78840-109
Phone: (830) 775-3025
Fax: (830) 768-4831

The provider's authorized official is Shamoon Doctor .
The authorized official title is Owner and has the following contact phone number (830) 775-3025.

The enumeration date for this NPI number is 3/21/2007 and was last updated on 5/21/2020.


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
1208600000XSurgeryF2437TEXASNo
2208800000XUrologyF2437TEXASYes

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
1F2437OTHERTEXASLICENSE
2$$$$$$$$$OTHERTEXASSOCIAL SECURITY NUMBER
3150283302MEDICAIDTEXAS
4163208501MEDICAIDTEXAS

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

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