# TEXAS UROLOGY P A

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

## Provider details

- **NPI number:** 1407958580
- **Authorized official:** DR. KENNETH ALLEN GOLDBERG M.D. (SENIOR PARTNER)
- **Authorized official phone:** (972) 420-8500

## Contact information

- **Practice address:** 541 W MAIN ST, SUITE \#150, LEWISVILLE, TX 75057-3628
- **Practice address phone:** (972) 420-8500
- **Practice address fax:** (972) 221-6302
- **Mailing address:** 541 W MAIN ST, SUITE \#150, LEWISVILLE, TX 75057-3628
- **Mailing address phone:** (972) 420-8500
- **Mailing address fax:** (972) 221-6302

## Taxonomy

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

## Other

- **Enumeration date:** 09/01/2006
- **Last updated:** 08/22/2020