# UROLOGY ASSOCIATES OF NORTH TEXAS LLP

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

## Provider details

- **NPI number:** 1790778256
- **Authorized official:** THERESA D WILSON (CENTRAL BUSINESS OFFICE MANAGER)
- **Authorized official phone:** (817) 303-4521

## Contact information

- **Practice address:** 811 W INTERSTATE 20, SUITE 114, ARLINGTON, TX 76017
- **Practice address phone:** (817) 784-0818
- **Practice address fax:** (817) 276-1861
- **Mailing address:** PO BOX 120549, ARLINGTON, TX 76012-0549
- **Mailing address phone:** (817) 303-4521
- **Mailing address fax:** (817) 459-2856

## Taxonomy

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

## Other

- **Enumeration date:** 08/30/2005
- **Last updated:** 12/07/2011
