Urology Clinics of North Texas PLLC

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

M0918 Issued in TX

Legal business name

UROLOGY CLINICS OF NORTH TEXAS PLLC

Practice address

100 Kestrel Dr
Collegeville, PA 19426-2060

Phone

(610) 831-5354

Fax

(214) 853-9415

NPI assigned

Sep 13, 2012

Organization subpart

No

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

Authorized official

Name

Jerri D Wilson

Title

Ceo

Phone

(214) 691-1902

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1347494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352246400000",
    "number": "1659621035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7515 GREENVILLE AVE",
            "address_2": "SUITE 900",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752313831",
            "telephone_number": "214-691-1902",
            "fax_number": "214-853-9415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 KESTREL DR",
            "city": "COLLEGEVILLE",
            "state": "PA",
            "postal_code": "194262060",
            "telephone_number": "610-831-5354",
            "fax_number": "214-853-9415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UROLOGY CLINICS OF NORTH TEXAS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-13",
        "last_updated": "2012-11-07",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "JERRI",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "214-691-1902"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "TX",
            "license": "M0918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Li C Tsai, MD
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• Jaclyn M Vasey, DPT
• Tayler Ann Venezia
• Adeline M Verticelli, M.D.

• Urology Physician in Collegeville, PA
• Providers in Collegeville, PA by specialty
• Urology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2012; 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.