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METROPLEX CLINIC PHYSICIANS INC. NPI 1891730396


NPI Information

NPI: 1891730396
Provider Name: METROPLEX CLINIC PHYSICIANS, INC.

Other Name: ADVENTHEALTH MEDICAL GROUP CENTRAL TEXAS

Classification: Urology - 208800000X
Entity Type: Organization
Address:
2207 S CLEAR CREEK RD
STE 204
KILLEEN, TX
ZIP 76549
Phone: (254) 519-8419
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METROPLEX CLINIC PHYSICIANS, INC. is an urology in Killeen, 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. METROPLEX CLINIC PHYSICIANS, INC. NPI is 1891730396. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Adventhealth Medical Group Central Texas.

The provider's business location address is:

2207 S CLEAR CREEK RD
STE 204
KILLEEN, TX
ZIP 76549-132
Phone: (254) 519-8419
Fax: (254) 519-8915

The provider's authorized official is Kelly Jasinski .
The authorized official title is Ce-vp Physician Enterprise Sw and has the following contact phone number (817) 568-4556.

The enumeration date for this NPI number is 6/18/2006 and was last updated on 12/7/2023.


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
1207RG0100XInternal MedicineGastroenterologyM2221TEXASNo
2207V00000XObstetrics & GynecologyNo
3101Y00000XCounselorNo
4101YP2500XCounselorProfessionalNo
5207Q00000XFamily MedicineNo
6207X00000XOrthopaedic SurgeryTEXASNo
72084P0804XPsychiatry & NeurologyChild & Adolescent PsychiatryN9230TEXASNo
8208800000XUrologyTEXASYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10033NEOTHERTEXASBLUE CROSS BLUE SHIELD
2178846501MEDICAIDTEXAS

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: 5/5/2024

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