# PEDIATRIC AND ADULT RECONSTRUCTIVE CENTER FOR UROLOGY, PLLC

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

## Provider details

- **NPI number:** 1619383650
- **Authorized official:** DR. WARREN SNODGRASS MD (OWNER)
- **Authorized official phone:** (214) 618-4405

## Contact information

- **Practice address:** 3716 STANDBRIDGE DRIVE \# 200, THE COLONY, TX 75056
- **Practice address phone:** (214) 618-4405
- **Practice address fax:** (214) 618-5506
- **Mailing address:** 3716 STANDBRIDGE DRIVE \# 200, THE COLONY, TX 75056
- **Mailing address phone:** (214) 618-4405
- **Mailing address fax:** (214) 618-5506

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208800000X | Urology Physician | — | NULL | Yes |
| 208800000X | Urology Physician | — | — | Yes |
| 2088P0231X | Pediatric Urology Physician | — | NULL | — |
| 2088P0231X | Pediatric Urology Physician | — | — | — |

## Other

- **Enumeration date:** 07/10/2014
- **Last updated:** 08/09/2025