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TEXOMA UROLOGY CENTER NPI 1003836040


NPI Information

NPI: 1003836040
Provider Name: TEXOMA UROLOGY CENTER
Classification: Urology - 208800000X
Entity Type: Organization

CLIA Number: 45D0883999

Address:
5500 KELL WEST BLVD.
SUITE 200
WICHITA FALLS, TX
ZIP 76310
Phone: (940) 689-8765
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TEXOMA UROLOGY CENTER is an urology in Wichita Falls, TX. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. TEXOMA UROLOGY CENTER NPI is 1003836040. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5500 KELL WEST BLVD.
SUITE 200
WICHITA FALLS, TX
ZIP 76310-612
Phone: (940) 689-8765
Fax: (940) 689-8769

The provider's authorized official is Phillip E Dowd .
The authorized official title is President and has the following contact phone number (940) 689-8765.

The CLIA number assigned to this NPI record is 45D0883999 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 7/20/2006 and was last updated on 11/5/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208800000XUrologyH6172TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
100E527MEDICARE PINTEXAS
200E527OTHERTEXASBLUE CROSS & BLUE SHIELD
30243510001OTHERTEXASMEDICARE DME, PALMETTO
4CS6543OTHERTEXASRAILROAD MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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