Organization
BROWNSVILLE UROLOGICAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE L VILLALOBOS MD (OWNER/PRESIDENT)
(956) 546-3595
Entity
Organization
Contact information
Practice address
864 CENTRAL BLVD, # 500, BROWNSVILLE, TX 78520
(956) 546-3595
(956) 541-9849
Mailing address
864 CENTRAL BLVD, # 500, BROWNSVILLE, TX 78520
(956) 546-3595
(956) 541-9849
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
D9700
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00AA43
BCBS
—
Enumeration date
08/21/2006
Last updated
08/22/2020
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