# BROWNSVILLE UROLOGICAL ASSOCIATES

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

## Provider details

- **NPI number:** 1104932391
- **Authorized official:** JOSE L VILLALOBOS MD (OWNER/PRESIDENT)
- **Authorized official phone:** (956) 546-3595

## Contact information

- **Practice address:** 864 CENTRAL BLVD, \# 500, BROWNSVILLE, TX 78520
- **Practice address phone:** (956) 546-3595
- **Practice address fax:** (956) 541-9849
- **Mailing address:** 864 CENTRAL BLVD, \# 500, BROWNSVILLE, TX 78520
- **Mailing address phone:** (956) 546-3595
- **Mailing address fax:** (956) 541-9849

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208800000X | Urology Physician | D9700 | TX | Yes |

## Other

- **Enumeration date:** 08/21/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 00AA43 | BCBS | — |