# BTX PREMIER UROLOGY PA

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

## Provider details

- **NPI number:** 1962274977
- **Authorized official:** KENNETH A EWANE MD (OWNER/PRESIDENT)
- **Authorized official phone:** (956) 255-5010

## Contact information

- **Practice address:** 800 W JEFFERSON ST STE 170, BROWNSVILLE, TX 78520-6300
- **Practice address phone:** (956) 255-5010
- **Practice address fax:** (956) 255-5011
- **Mailing address:** PO BOX 4948, BROWNSVILLE, TX 78523-4948
- **Mailing address phone:** (956) 255-5010

## Taxonomy

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

## Other

- **Enumeration date:** 10/23/2023
- **Last updated:** 01/30/2025