# UROLOGY CLINICS OF NORTH TEXAS, PLLC

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

## Provider details

- **NPI number:** 1720031370
- **Authorized official:** JERRI D WILSON (CEO)
- **Authorized official phone:** (214) 691-1902

## Contact information

- **Practice address:** 8230 WALNUT HILL LN, SUITE 700, DALLAS, TX 75231-4482
- **Practice address phone:** (214) 691-1902
- **Practice address fax:** (214) 987-1845
- **Mailing address:** 1650 REPUBLIC PKWY STE 130, MESQUITE, TX 75150-6920
- **Mailing address phone:** (214) 692-8262
- **Mailing address fax:** (214) 696-4190

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RH0003X | Hematology & Oncology Physician | — | NULL | — |
| 207RH0003X | Hematology & Oncology Physician | — | — | — |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | — | NULL | — |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | — | — | — |
| 2085R0001X | Radiation Oncology Physician | K3232 | TX | — |
| 208800000X | Urology Physician | M0918 | TX | Yes |
| 2088P0231X | Pediatric Urology Physician | G9345 | TX | — |

## Other

- **Enumeration date:** 05/17/2006
- **Last updated:** 12/18/2025