Organization
TWIN CITY UROLOGY ASSOCIATES, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMUEL THOMAS HOUSTON M.D. (PRESIDENT/UROLOGIST)
(501) 758-5600
Entity
Organization
Contact information
Practice address
3343 SPRINGHILL DR, SUITE 3010, NORTH LITTLE ROCK, AR 72117-2929
(501) 758-5600
(501) 758-9454
Mailing address
11001 EXECUTIVE CENTER DR, SUITE 200, LITTLE ROCK, AR 72211-4316
(501) 812-7201
(501) 812-7207
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
R4005
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
127058002
—
AR
01
—
5769411
AETNA
AR
Enumeration date
07/12/2006
Last updated
05/21/2008
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