Organization Active NPI

Twin City Urology Associates, P.a.

Doing business as Southern Arkansas Urology

  • Urology Physician
  • El Dorado, AR
National Provider Identifier
1538520515
Registry record updated Mar 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
TWIN CITY UROLOGY ASSOCIATES, P.A.
Doing business as
Southern Arkansas Urology
Practice address
704 W Grove St
Suite 4
El Dorado, AR 71730-4416
Phone
(501) 766-3430
NPI assigned
Mar 17, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2016

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

Authorized official

Name
Samuel T Houston, M.D.
Title
President
Phone
(501) 766-3430

Specialties & licenses 1

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

Addresses

Primary practice location

704 W Grove St
Suite 4
El Dorado, AR 71730-4416

Mailing address

704 West Grove Street
Suite 4
El Dorado, AR 71730

Other names 1

  • Southern Arkansas Urology Doing business as

National Provider Directory

National Provider Directory

Locations

704 W Grove St
Ste 4
El Dorado, AR 71730
Phone (870) 863-4511

NPI Registry JSON

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

{
    "created_epoch": "1458172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458691200000",
    "number": "1538520515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "704 WEST GROVE STREET",
            "address_2": "SUITE 4",
            "city": "EL DORADO",
            "state": "AR",
            "postal_code": "71730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 W GROVE ST",
            "address_2": "SUITE 4",
            "city": "EL DORADO",
            "state": "AR",
            "postal_code": "717304416",
            "telephone_number": "501-766-3430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWIN CITY UROLOGY ASSOCIATES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-17",
        "last_updated": "2016-03-23",
        "status": "A",
        "authorized_official_last_name": "HOUSTON",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "501-766-3430",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southern Arkansas Urology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in El Dorado, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.