Organization
STAR UROLOGY OF TEXAS, P.A.
Active
Parent organization
STAR UROLOGY OF TEXAS, P.A.
Organization subpart
Yes
Provider details
NPI number
Legal business name
STAR UROLOGY OF TEXAS, P.A.
Authorized official
DR. FRANCIS O NWAFOR M.D. (OWNER/PROVIDER)
(214) 980-1920
Entity
Organization
Contact information
Practice address
200 NORTHGATE DR, WAXAHACHIE, TX 75165
(214) 980-1920
(214) 980-1686
Mailing address
200 NORTHGATE DR, WAXAHACHIE, TX 75165
(214) 980-1920
(214) 980-1686
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
K8388
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00016R
MEDICARE
TX
01
—
0026E2
BCBS
TX
05
—
079566801
—
TX
05
—
101972102
—
TX
01
—
120561100
FIRST CARE
—
01
—
340018490
RR MEDC
TX
01
—
7190018
AETNA
—
01
—
8168MO
MEDICARE
TX
01
—
8A5910
BCBS
—
Enumeration date
10/19/2006
Last updated
07/22/2020
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