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Organization
NORTHWOODS UROLOGY OF TEXAS PLLC
Active
Organization
NORTHWOODS UROLOGY OF TEXAS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL R KENWORTHY M.D. (MANAGING PARTNER)
(281) 404-3000
Entity
Organization
Contact information
Practice address
135 VISION PARK BLVD, SHENANDOAH, TX 77384-3001
(281) 404-3000
(936) 273-6911
Mailing address
135 VISION PARK BLVD, SHENANDOAH, TX 77384-3001
(281) 404-3000
(936) 273-6911
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
NULL
208800000X
Urology Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
363LA2100X
Acute Care Nurse Practitioner
—
NULL
363LA2100X
Acute Care Nurse Practitioner
—
—
Other
Enumeration date
04/30/2012
Last updated
12/16/2024
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