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HEALEY UROLOGY CLINIC P.A. NPI 1114021631


NPI Information

NPI: 1114021631
Provider Name: HEALEY UROLOGY CLINIC, P.A.
Classification: Urology - 208800000X
Entity Type: Organization

CLIA Number: 45D0497725

Address:
3180 CENTRAL MALL DR
PORT ARTHUR, TX
ZIP 77642
Phone: (409) 729-6231
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HEALEY UROLOGY CLINIC, P.A. is an urology in Port Arthur, 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. HEALEY UROLOGY CLINIC, P.A. NPI is 1114021631. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3180 CENTRAL MALL DR
PORT ARTHUR, TX
ZIP 77642-039
Phone: (409) 729-6231
Fax: (409) 727-6537

The provider's authorized official is Gordon Bruce Healey .
The authorized official title is President and has the following contact phone number (409) 729-6231.

The CLIA number assigned to this NPI record is 45D0497725 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 9/13/2006 and was last updated on 8/22/2020.


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
1208800000XUrologyYes

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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