Organization
BTX PREMIER UROLOGY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH A EWANE MD (OWNER/PRESIDENT)
(956) 255-5010
Entity
Organization
Contact information
Practice address
800 W JEFFERSON ST STE 170, BROWNSVILLE, TX 78520-6300
(956) 255-5010
(956) 255-5011
Mailing address
PO BOX 4948, BROWNSVILLE, TX 78523-4948
(956) 255-5010
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
10/23/2023
Last updated
01/30/2025
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