East Texas Urocenter

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

M8194 Issued in TX

Legal business name

EAST TEXAS UROCENTER

Practice address

1320 N University Dr Ste a
Nacogdoches, TX 75961-4270

Phone

(936) 560-5200

Fax

(936) 560-5222

NPI assigned

Dec 6, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Sergio G Moreira Jr., MD

Title

Owner

Phone

(936) 560-5200

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1196899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196899200000",
    "number": "1699958124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 N UNIVERSITY DR STE A",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759614270",
            "telephone_number": "936-560-5200",
            "fax_number": "936-560-5222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 N UNIVERSITY DR STE A",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759614270",
            "telephone_number": "936-560-5200",
            "fax_number": "936-560-5222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST TEXAS UROCENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-06",
        "last_updated": "2007-12-06",
        "status": "A",
        "authorized_official_last_name": "MOREIRA",
        "authorized_official_first_name": "SERGIO",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "936-560-5200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "TX",
            "license": "M8194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• East Texas Community Health Services, Inc
• East Texas Community Health Services, Inc.
• East Texas Medical Specialties
• East Texas Physicians Care PA
• East Texas Psychological Services
• East Texas Women's Touch Obstetrics & Gynecology PLLC
• Terri E Eastepp, LPC
• Whitney Echart, FNP-C
• Eddy Furniss, MD, PA
• Edwin L. Ferren, M.D. PA

• Urology Physician in Nacogdoches, TX
• Providers in Nacogdoches, TX by specialty
• Urology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 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.