Organization Active NPI

Southeast Texas Urology Associates, LLP

  • Urology Physician
  • Beaumont, TX
National Provider Identifier
1346353240
Registry record updated Jul 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
SOUTHEAST TEXAS UROLOGY ASSOCIATES, LLP
Practice address
755 N 11TH St
Suite P3200
Beaumont, TX 77702-1501
Phone
(409) 899-4111
Fax
(409) 899-5670
NPI assigned
Aug 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Joseph Denton Harris IV, M.D.NPI 1275539074
Title
Physician/Owner
Phone
(409) 899-4111

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X Primary

Addresses

Primary practice location

755 N 11TH St
Suite P3200
Beaumont, TX 77702-1501

Mailing address

755 N 11TH St
Suite P3200
Beaumont, TX 77702-1501
Phone (409) 899-4111

Other identifiers 4

IdentifierTypeStateIssuer
00880NOtherTXMEDICARE 2ND NUMBER
109365002MedicaidTX
CG1207OtherTXGROUP RAILROAD MEDICARE
109365001MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041111000511 TX Part B Supplier - Clinic/Group Practice 3678558087 Receives reassigned benefits from 7 practitioners
Practice locations: Beaumont, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D1103629Southeast Texas Urology Associates755 N 11TH St Ste P3200, Beaumont, TX 77702Provider-performed microscopyAug 12, 2026

National Provider Directory

National Provider Directory

Locations

2900 North St
Ste 204
Beaumont, TX 77702
Phone (409) 899-4111

Interoperability endpoints

  • Direct secure messaging: johnhenderson@setxuro.medalliesdirect.net
  • Direct secure messaging: benjaminstrahan@setxuro.medalliesdirect.net
  • Direct secure messaging: warrenscoggins@setxuro.medalliesdirect.net
  • Direct secure messaging: josephharris@setxuro.medalliesdirect.net
  • Direct secure messaging: jennynguyen@setxuro.medalliesdirect.net

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185494400000",
    "number": "1346353240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 N 11TH ST",
            "address_2": "SUITE P3200",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777021501",
            "telephone_number": "409-899-4111",
            "fax_number": "409-899-5670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 N 11TH ST",
            "address_2": "SUITE P3200",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777021501",
            "telephone_number": "409-899-4111",
            "fax_number": "409-899-5670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST TEXAS UROLOGY ASSOCIATES, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-16",
        "last_updated": "2007-07-27",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "DENTON",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "409-899-4111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "IV",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE 2ND NUMBER",
            "identifier": "00880N",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "109365002",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP RAILROAD MEDICARE",
            "identifier": "CG1207",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "109365001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaumont, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.