Organization
URODEL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAMOON DOCTOR M.D. (OWNER)
(830) 775-3025
Entity
Organization
Contact information
Practice address
305 E GARFIELD ST, DEL RIO, TX 78840-5109
(830) 775-3025
(830) 768-4831
Mailing address
305 E GARFIELD ST, DEL RIO, TX 78840-5109
(830) 775-3025
(830) 768-4831
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
F2437
TX
208800000X
Urology Physician
Primary
F2437
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
$$$$$$$$$
SOCIAL SECURITY NUMBER
TX
05
—
150283302
—
TX
05
—
163208501
—
TX
01
—
F2437
LICENSE
TX
Enumeration date
03/21/2007
Last updated
05/21/2020
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