Organization
EXCEL UROLOGY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IFEANYICHUKWU ANUSIONWU (MANAGING MEMBER)
(717) 635-0811
Entity
Organization
Contact information
Practice address
6138 PRECINCT LINE RD STE 100, HURST, TX 76054-2610
(214) 238-6985
Mailing address
6138 PRECINCT LINE RD STE 100, HURST, TX 76054-2610
(214) 238-6985
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
04/08/2019
Last updated
10/13/2019
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