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Organization

EXCEL UROLOGY PLLC

Active
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Organization

EXCEL UROLOGY PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
IFEANYICHUKWU ANUSIONWU (MANAGING MEMBER)
(717) 635-0811
Entity
Organization

Contact information

Practice address
6138 PRECINCT LINE RD STE 100, HURST, TX 76054-2610
(214) 238-6985
Mailing address
6138 PRECINCT LINE RD STE 100, HURST, TX 76054-2610
(214) 238-6985

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
NULL
208800000X
Urology Physician
Primary
—
—

Other

Enumeration date
04/08/2019
Last updated
10/13/2019
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