Organization
UROLOGY ASSOCIATES OF CENTRAL TEXAS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT B. DICKINSON M.D. (OWNER/PRESIDENT)
(512) 268-7100
Entity
Organization
Contact information
Practice address
1180 SETON PKWY, SUITE 320, KYLE, TX 78640-6179
(512) 268-7100
(512) 268-7200
Mailing address
1180 SETON PKWY, SUITE 320, KYLE, TX 78640-6179
(512) 268-7100
(512) 268-7200
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0092TW
BCBS
TX
05
—
2199291-01
—
TX
Enumeration date
09/02/2010
Last updated
01/19/2012
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