# BAY AREA UROLOGY ASSOCIATES

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

## Provider details

- **NPI number:** 1205955416
- **Authorized official:** DR. HENRY R WAGNER JR. M.D. (OWNER)
- **Authorized official phone:** (281) 332-9502

## Contact information

- **Practice address:** 8 PROFESSIONAL PARK DR, WEBSTER, TX 77598-4127
- **Practice address phone:** (281) 332-9502
- **Practice address fax:** (281) 332-6123
- **Mailing address:** PO BOX 58156, HOUSTON, TX 77258-8156
- **Mailing address phone:** (281) 332-9502
- **Mailing address fax:** (281) 332-6123

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208800000X | Urology Physician | D5240 | TX | Yes |

## Other

- **Enumeration date:** 03/28/2007
- **Last updated:** 12/03/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 093918301 | — | TX |