Highland Lakes Urology PA

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

K0308 Issued in TX

Legal business name

HIGHLAND LAKES UROLOGY PA

Doing business as

David P Greenwell MD

Practice address

2503 Hwy 281 N
Ste 400
Marble Falls, TX 78654

Phone

(830) 693-5889

Fax

(830) 693-5801

NPI assigned

Oct 17, 2007

Organization subpart

No

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

Authorized official

Name

David Payton Greenwell, MD

Title

President

Phone

(830) 693-5889

Specialties & licenses 1

Addresses

Other names 1

• David P Greenwell MD Doing business as

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

{
    "created_epoch": "1192579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192579200000",
    "number": "1649469487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2503 HWY 281 N",
            "address_2": "STE 400",
            "city": "MARBLE FALLS",
            "state": "TX",
            "postal_code": "78654",
            "telephone_number": "830-693-5889",
            "fax_number": "830-693-5801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2503 HWY 281 N",
            "address_2": "STE 400",
            "city": "MARBLE FALLS",
            "state": "TX",
            "postal_code": "78654",
            "telephone_number": "830-693-5889",
            "fax_number": "830-693-5801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGHLAND LAKES UROLOGY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-17",
        "last_updated": "2007-10-17",
        "status": "A",
        "authorized_official_last_name": "GREENWELL",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "PAYTON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "830-693-5889",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "TX",
            "license": "K0308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "David P Greenwell MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Urology Physician in Marble Falls, TX
• Providers in Marble Falls, TX by specialty
• Urology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2007; 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.