# SPRING CREEK UROLOGY SPECIALISTS LLC

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

## Provider details

- **NPI number:** 1386916989
- **Authorized official:** AJAY KWATRA (OWNER)
- **Authorized official phone:** (855) 259-2872

## Contact information

- **Practice address:** 506 MEDICAL CENTER BLVD, SUITE 304, CONROE, TX 77304-2942
- **Practice address phone:** (855) 259-2872
- **Practice address fax:** (888) 815-6161
- **Mailing address:** PO BOX 4346, HOUSTON, TX 77210-4346
- **Mailing address phone:** (855) 259-2872
- **Mailing address fax:** (888) 815-6161

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208800000X | Urology Physician | J6530 | TX | Yes |

## Other

- **Enumeration date:** 01/30/2012
- **Last updated:** 01/24/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 303906701 | — | TX |