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PEDIATRIC AND ADULT RECONSTRUCTIVE CENTER FOR UROLOGY PLLC NPI 1619383650


NPI Information

NPI: 1619383650
Provider Name: PEDIATRIC AND ADULT RECONSTRUCTIVE CENTER FOR UROLOGY, PLLC
Classification: Urology - 208800000X
Entity Type: Organization
Address:
5680 FRISCO SQUARE BLVD
SUITE 2300
FRISCO, TX
ZIP 75034
Phone: (214) 618-4405
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PEDIATRIC AND ADULT RECONSTRUCTIVE CENTER FOR UROLOGY, PLLC is an urology in Frisco, 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. PEDIATRIC AND ADULT RECONSTRUCTIVE CENTER FOR UROLOGY, PLLC NPI is 1619383650. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5680 FRISCO SQUARE BLVD
SUITE 2300
FRISCO, TX
ZIP 75034-308
Phone: (214) 618-4405

The provider's authorized official is Warren Snodgrass .
The authorized official title is Owner and has the following contact phone number (214) 618-4405.

The enumeration date for this NPI number is 7/10/2014 and was last updated on 7/10/2014.


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
12088P0231XUrologyPediatric UrologyNo
2208800000XUrologyYes

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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