ODR PEDIATRIC UROLOGY INSTITUTE PLLC NPI 1184280695

NPI Details

ODR PEDIATRIC UROLOGY INSTITUTE PLLC is a pediatric urology urology in Houston, TX. The provider is surgeons who can diagnose, treat, and manage children's urinary and genital problems. A pediatric urologist devotes a minimum of 50% of his or her practice to the urologic problems of infants, children, and adolescents. Pediatric urologists generally provide the following services: the evaluation and management of voiding disorders; vesicoureteral reflux, and urinary tract infections that require surgery; surgical reconstruction of the urinary tract (kidneys, ureters, and bladder) including genital abnormalities, hypospadias, and intersex conditions; surgery for groin conditions in childhood and adolescence (undescended testes, hydrocele/hernia, varicocele). ODR PEDIATRIC UROLOGY INSTITUTE PLLC NPI is 1184280695. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Crescent Urology Institute.

The provider's business location address is:

1200 BINZ ST STE 690
HOUSTON, TX
ZIP 77004-943
Phone: (713) 366-7931
Fax: (713) 482-5815

The provider's authorized official is Dung Q Pham .
The authorized official title is Owner and has the following contact phone number (713) 366-7831.

The CLIA number assigned to this NPI record is 45D2177701 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/10/2019 and was last updated on 4/11/2022.

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: