Organization
UROLOGY CENTER OF EAST TEXAS, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JUANICE BURTON (ADMINISTRATIVE ASSISTANT)
(903) 675-9339
Entity
Organization
Contact information
Practice address
1701 SOUTH PALESTINE, SUITE A, ATHENS, TX 75751-5739
(903) 675-9339
(903) 675-9344
Mailing address
1701 SOUTH PALESTINE, SUITE A, ATHENS, TX 75751-5739
(903) 675-9339
(903) 675-9344
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00901R
BCBS
TX
05
—
0806614-03
—
TX
Enumeration date
08/07/2006
Last updated
04/15/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us