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Organization

AFFILIATED UROLOGISTS OF GREATER AUSTIN

Active
Other names
Adult & Pediatric Urology Associates
Organization subpart
No

Provider details

NPI number
Authorized official
MS. TERRI WAY (OFFICE MANAGER)
(512) 416-0444
Entity
Organization

Contact information

Practice address
4207 JAMES CASEY ST, STE 107, AUSTIN, TX 78745-3300
(512) 416-0444
(512) 442-2533
Mailing address
4207 JAMES CASEY ST, STE 107, AUSTIN, TX 78745-3300
(512) 416-0444
(512) 442-2533

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00N46A
BLUE CROSS NUMBER
TX
Enumeration date
03/08/2006
Last updated
04/20/2008
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