Urogyn Diagnostics, LLC

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

Legal business name

UROGYN DIAGNOSTICS, LLC

Practice address

2502 Oestrick LN
Austin, TX 78733-2121

Phone

(512) 454-5911

NPI assigned

Jun 30, 2010

Last updated

Jun 30, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kimberly Coates, MD

Title

President

Phone

(512) 454-5911

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1277856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277856000000",
    "number": "1659682045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2502 OESTRICK LN",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787332121",
            "telephone_number": "512-454-5911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2502 OESTRICK LN",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787332121",
            "telephone_number": "512-454-5911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UROGYN DIAGNOSTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-30",
        "last_updated": "2010-06-30",
        "status": "A",
        "authorized_official_last_name": "COATES",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "512-454-5911",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2010; 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.