Organization
UROLOGY CLINICS OF NORTH TEXAS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERRI D WILSON (CEO)
(214) 691-1902
Entity
Organization
Contact information
Practice address
1631 LANCASTER DR STE 350, GRAPEVINE, TX 76051-3599
(214) 915-8502
(682) 223-5006
Mailing address
1650 REPUBLIC PKWY STE 130, MESQUITE, TX 75150-6920
(214) 692-8262
(214) 696-4190
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1780971549
—
TX
Enumeration date
06/30/2011
Last updated
12/18/2025
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