Organization
NORTH CENTRAL TEXAS UROLOGY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AVI T DESHMUKH MD (OWNER/ MANAGER)
(817) 599-3690
Entity
Organization
Contact information
Practice address
805 HILL BLVD, STE 106-107, GRANDBURY, TX 76048-1481
(817) 599-3690
(817) 599-6633
Mailing address
805 HILL BLVD, STE 106-107, GRANDBURY, TX 76048-1481
(817) 599-3690
(817) 599-6633
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
H1067
TX
Other
Enumeration date
04/03/2013
Last updated
06/16/2020
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