Organization
RUFUS GREEN MD PA
Active
Other names
The Urology Institute
Organization subpart
No
Provider details
NPI number
Authorized official
ROSE ANN FOLEY (OFFICE MANAGER)
(972) 243-3368
Entity
Organization
Contact information
Practice address
9 MEDICAL PKWY, PLAZA 4 307, DALLAS, TX 75234-7855
(972) 243-3368
(972) 243-5296
Mailing address
9 MEDICAL PKWY, PLAZA 4 STE 307, DALLAS, TX 75234-7855
(972) 243-3368
(972) 243-5296
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
H5889
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
033719801
—
TX
01
—
CH4009
RAILROAD MEDICARE
TX
Enumeration date
10/11/2007
Last updated
09/26/2008
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