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SPRING CREEK UROLOGY SPECIALISTS LLC NPI 1386916989


NPI Information

NPI: 1386916989
Provider Name: SPRING CREEK UROLOGY SPECIALISTS LLC
Classification: Urology - 208800000X
Entity Type: Organization

CLIA Number: 45D2043109

Address:
506 MEDICAL CENTER BLVD
SUITE 304
CONROE, TX
ZIP 77304
Phone: (855) 259-2872
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SPRING CREEK UROLOGY SPECIALISTS LLC is an urology in Conroe, 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. SPRING CREEK UROLOGY SPECIALISTS LLC NPI is 1386916989. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

506 MEDICAL CENTER BLVD
SUITE 304
CONROE, TX
ZIP 77304-942
Phone: (855) 259-2872
Fax: (888) 815-6161

The provider's authorized official is Ajay Kwatra .
The authorized official title is Owner and has the following contact phone number (855) 259-2872.

The CLIA number assigned to this NPI record is 45D2043109 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 1/30/2012 and was last updated on 1/24/2013.


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
1208800000XUrologyJ6530TEXASYes

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
1303906701MEDICAIDTEXAS
2TXB149578MEDICARE PINTEXAS

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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