Organization
THE UROLOGY TEAM PA
Active
Parent organization
THE UROLOGY TEAM PA
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE UROLOGY TEAM PA
Authorized official
CAROLYN SUE ZELL CPC (ACCOUNT MANAGER)
(512) 231-1456
Entity
Organization
Contact information
Practice address
11410 JOLLYVILLE RD, SUITE 1101, AUSTIN, TX 78759-4097
(512) 231-1456
(512) 231-7059
Mailing address
11410 JOLLYVILLE RD, SUITE 1101, AUSTIN, TX 78759-4097
(512) 231-1444
(512) 231-1470
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
174400000X
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0033BR
BLUE CROSS BLUE SHEILD TX
TX
01
—
CE8100
RAIL ROAD MEDICARE
TX
Enumeration date
09/27/2005
Last updated
05/19/2010
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