Organization
TIJERINA UROLOGY CLINIC, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANE K TIJERINA APRN-C (ADMINISTRATOR)
(903) 785-0338
Entity
Organization
Contact information
Practice address
811 E AUSTIN ST, PARIS, TX 75460-7353
(903) 785-0338
(903) 785-5369
Mailing address
811 E AUSTIN ST, PARIS, TX 75460-7353
(903) 785-0338
(903) 785-5369
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
094907501
—
TX
01
—
CG5142
RAILROAD MEDICARE
TX
Enumeration date
06/25/2006
Last updated
01/24/2025
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