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Organization
UROLOGY SPECIALISTS PA
Active
Organization
UROLOGY SPECIALISTS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STUART ZYKORIE M.D. (PRESIDENT)
(281) 444-7077
Entity
Organization
Contact information
Practice address
17070 RED OAK DR STE 200, HOUSTON, TX 77090-2615
(281) 444-7077
(281) 444-5799
Mailing address
17070 RED OAK DR STE 200, HOUSTON, TX 77090-2615
(281) 444-7077
(281) 444-5799
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
—
NULL
2085R0001X
Radiation Oncology Physician
—
—
208800000X
Urology Physician
Primary
—
NULL
208800000X
Urology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
083556304
—
TX
Enumeration date
11/06/2006
Last updated
06/29/2011
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