# NORTHWOODS UROLOGY OF TEXAS PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043578859
- **Authorized official:** PAUL R KENWORTHY M.D. (MANAGING PARTNER)
- **Authorized official phone:** (281) 404-3000

## Contact information

- **Practice address:** 135 VISION PARK BLVD, SHENANDOAH, TX 77384-3001
- **Practice address phone:** (281) 404-3000
- **Practice address fax:** (936) 273-6911
- **Mailing address:** 135 VISION PARK BLVD, SHENANDOAH, TX 77384-3001
- **Mailing address phone:** (281) 404-3000
- **Mailing address fax:** (936) 273-6911

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208800000X | Urology Physician | — | NULL | Yes |
| 208800000X | Urology Physician | — | — | Yes |
| 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