Organization
SOUTHWEST UROLOGY ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA A. VARA (ADMINISTRATOR)
(214) 948-3101
Entity
Organization
Contact information
Practice address
1411 N BECKLEY AVE, SUITE 464, DALLAS, TX 75203-1259
(214) 948-3101
(214) 941-7633
Mailing address
PO BOX 678164, DALLAS, TX 75267-8164
(214) 948-3101
(214) 941-7633
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
196814101
—
TX
Enumeration date
07/01/2006
Last updated
12/29/2011
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