Organization
WEST TEXAS UROLOGY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN BARRY STAUB MD (PRESIDENT)
(432) 687-0311
Entity
Organization
Contact information
Practice address
2706 W CUTHBERT BLDG C, MIDLAND, TX 79701-3887
(432) 687-0311
(432) 687-0312
Mailing address
2706 W CUTHBERT BLDG C, MIDLAND, TX 79701-3887
(432) 687-0311
(432) 687-0312
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
H3422
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
172553301
—
TX
01
—
45D0508718
CLIA
TX
Enumeration date
08/09/2005
Last updated
02/19/2014
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