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Organization
UROLOGY ASSOCIATES OF NORTH TEXAS LLP
Active
Organization
UROLOGY ASSOCIATES OF NORTH TEXAS LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THERESA D WILSON (CENTRAL BILLING OFFICE MANAGER)
(817) 543-4909
Entity
Organization
Contact information
Practice address
925 SANTA FE DR, SUITE 114, WEATHERFORD, TX 76086-5866
(817) 303-4521
(817) 468-5876
Mailing address
PO BOX 120549, ARLINGTON, TX 76012-0549
(817) 303-4521
(817) 468-5876
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
NULL
208800000X
Urology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
109535802
—
TX
Enumeration date
08/30/2005
Last updated
09/17/2009
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