Organization
URBAN HEALTH SYSTEMS P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONNIE D SHADE M.D. (PRESIDENT)
(214) 337-4700
Entity
Organization
Contact information
Practice address
7310 S WESTMORELAND RD STE 1, DALLAS, TX 75237-3002
(214) 337-4700
(972) 709-2847
Mailing address
7310 S WESTMORELAND RD STE 1, DALLAS, TX 75237-3002
(214) 337-4700
(972) 709-2847
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
G6395
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00CW90
MEDICARE ID
—
05
—
032574801
—
TX
01
—
472310
MEDICARE ID
—
Enumeration date
10/30/2015
Last updated
09/19/2016
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