Organization
MEMORIAL UROLOGY ASSOCIATES, PA
Active
Other names
Memorial Urology Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW A SELZMAN MD (PHYSICIAN OWNER)
(713) 830-9200
Entity
Organization
Contact information
Practice address
7907 FREDRICKSBURG, SUITE 150 RM J, SAN ANTONIO, TX 78229
(713) 830-9200
Mailing address
915 GESSNER RD, SUITE 720, HOUSTON, TX 77024-2527
(713) 830-9200
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
084518202
—
TX
01
—
P00603909
RAILROAD MEDICARE
TX
Enumeration date
05/23/2007
Last updated
08/04/2008
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