# ADULT & PEDIATRIC UROLOGY PC

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

## Provider details

- **NPI number:** 1831222702
- **Authorized official:** DR. EUCLID J DESOUZA M.D. (CEO)
- **Authorized official phone:** (402) 397-7989

## Contact information

- **Practice address:** 17055 FRANCES ST, STE 102, OMAHA, NE 68130-4655
- **Practice address phone:** (402) 397-7989
- **Practice address fax:** (402) 330-0258
- **Mailing address:** PO BOX 8577, OMAHA, NE 68108-0577
- **Mailing address phone:** (402) 397-7989
- **Mailing address fax:** (402) 397-8703

## Taxonomy

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

## Other

- **Enumeration date:** 03/13/2007
- **Last updated:** 08/22/2020