# UROLOGY CLINICS OF NORTH TEXAS

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

## Provider details

- **NPI number:** 1962792333
- **Authorized official:** JERRI D WILSON (CEO)
- **Authorized official phone:** (214) 691-1902

## Contact information

- **Practice address:** 1600 W COLLEGE ST, SUITE 140, GRAPEVINE, TX 76051-3580
- **Practice address phone:** (214) 826-6051
- **Mailing address:** 7515 GREENVILLE AVE, SUITE 900, DALLAS, TX 75231-3831
- **Mailing address phone:** (214) 691-1902

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | 193400000X | TX | — |
| 208800000X | Urology Physician | 193400000X | TX | Yes |

## Other

- **Enumeration date:** 04/19/2011
- **Last updated:** 04/19/2011