Organization
SPRING CREEK UROLOGY SPECIALISTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AJAY KWATRA (OWNER)
(855) 259-2872
Entity
Organization
Contact information
Practice address
506 MEDICAL CENTER BLVD, SUITE 304, CONROE, TX 77304-2942
(855) 259-2872
(888) 815-6161
Mailing address
PO BOX 4346, HOUSTON, TX 77210-4346
(855) 259-2872
(888) 815-6161
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
J6530
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
303906701
—
TX
Enumeration date
01/30/2012
Last updated
01/24/2013
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