# NORTH CENTRAL TEXAS UROLOGY, PLLC

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

## Provider details

- **NPI number:** 1780927152
- **Authorized official:** AVI T DESHMUKH MD (OWNER/ MANAGER)
- **Authorized official phone:** (817) 599-3690

## Contact information

- **Practice address:** 805 HILL BLVD, STE 106-107, GRANDBURY, TX 76048-1481
- **Practice address phone:** (817) 599-3690
- **Practice address fax:** (817) 599-6633
- **Mailing address:** 805 HILL BLVD, STE 106-107, GRANDBURY, TX 76048-1481
- **Mailing address phone:** (817) 599-3690
- **Mailing address fax:** (817) 599-6633

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208800000X | Urology Physician | H1067 | TX | Yes |

## Other

- **Enumeration date:** 04/03/2013
- **Last updated:** 06/16/2020