SA PEDIATRIC UROLOGY PLLC NPI 1578309951

NPI Details

SA PEDIATRIC UROLOGY PLLC is a pediatric urology urology in San Antonio, 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). SA PEDIATRIC UROLOGY PLLC NPI is 1578309951. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

12446 WEST AVE STE 200
SAN ANTONIO, TX
ZIP 78216-530
Phone: (210) 525-1668
Fax: (210) 525-1669

The provider's authorized official is Jeffrey Leslie .
The authorized official title is Owner and has the following contact phone number (210) 525-1668.

The enumeration date for this NPI number is 7/3/2024 and was last updated on 7/3/2024.

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: