Organization
UROLOGY ASSOCIATES OF SOUTH TEXAS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARLOS P DE JUANA M.D. (UROLOGIST/PARTNER)
(956) 686-8357
Entity
Organization
Contact information
Practice address
110 E SAVANNAH, SUITE C-101, MCALLEN, TX 78503-1241
(956) 686-8357
(956) 686-5030
Mailing address
PO BOX 34776, SAN ANTONIO, TX 78265-4776
(956) 686-8357
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
083233902
—
TX
01
—
4540910001
CIGNA GOVERNMENT SVS FOR
—
01
—
CN2775
RAILROAD MEDICARE
—
Enumeration date
09/25/2006
Last updated
01/13/2011
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