Organization Active NPI

Urology Clinics of North Texas, PLLC

  • Urology Physician
  • Dallas, TX
National Provider Identifier
1720031370
Registry record updated Dec 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
M0918 Issued in TX
Legal business name
UROLOGY CLINICS OF NORTH TEXAS, PLLC
Practice address
8230 Walnut Hill LN
Suite 700
Dallas, TX 75231-4482
Phone
(214) 691-1902
Fax
(214) 987-1845
NPI assigned
May 17, 2006
Last updated
Dec 18, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2025

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 5

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X
Radiation Oncology Physician 2085R0001X K3232 TX
Urology Physician 208800000X M0918 TX Primary
Pediatric Urology Physician 2088P0231X G9345 TX

Addresses

Primary practice location

8230 Walnut Hill LN
Suite 700
Dallas, TX 75231-4482

Mailing address

1650 Republic Pkwy Ste 130
Mesquite, TX 75150-6920
Phone (214) 692-8262

Other practice location 1

7777 Forest Ln Ste C565
Dallas, TX 75230-6847
Phone (972) 566-7765

Other practice location 2

3417 Gaston Ave Ste 830
Dallas, TX 75246-2032
Phone (214) 826-6021

Other practice location 3

221 W Colorado Blvd Ste 443
Dallas, TX 75208-2312
Phone (214) 271-9971

Other practice location 4

6460 Naaman Forest Blvd
Garland, TX 75044-5601
Phone (972) 494-6764

Other practice location 5

920 Highway 352 Ste 100
Mesquite, TX 75149-6805
Phone (972) 270-8859

Other practice location 6

12606 Greenville Ave Ste 160
Dallas, TX 75243-1915
Phone (214) 691-9377

Other practice location 7

12606 Greenville Ave Ste 185
Dallas, TX 75243-1921
Phone (469) 547-6541

Other identifiers 3

IdentifierTypeStateIssuer
CI6342OtherTXRR MEDICARE GROUP
1720031370MedicaidTX
0036DEOtherBCBS GROUP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040526000711 TX Part B Supplier - Clinic/Group Practice 5496736415 Receives reassigned benefits from 81 practitioners
2 other NPIs on this enrollment
Practice locations: Fort Worth, TX; Frisco, TX; Garland, TX; Grapevine, TX; McKinney, TX; Mesquite, TX; Plano, TX; Rockwall, TX…

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D0480489Urology Clinic of North Texas PA8230 Walnut Hill LN Suite 700, Dallas, TX 75231Provider-performed microscopyJan 17, 2027
45D0481642Urology Clinics of North Texas PA3417 Gaston Avenue , Suite 830, Dallas, TX 75246Provider-performed microscopyJan 26, 2028
45D0722182Urology Clinics of North Texas7777 Forest Lane Suite C565, Dallas, TX 75230Provider-performed microscopyAug 31, 2027
45D1016875Urology Clinics of North Texas920 Highway 352 Suite 100, Mesquite, TX 75149Certificate of waiverOct 13, 2027
45D1064174Urology Clinics of North Texas12606 Greenville Ave Suite 160, Dallas, TX 75243Certificate of waiverFeb 24, 2028
45D1096496Urology Clinics of North Texas6460 Naaman Forest Blvd, Garland, TX 75044Certificate of waiverApr 8, 2027
45D2233446Urology Clinics of North Texas221 W Colorado Blvd Pavillion II Suite 443, Dallas, TX 75208Certificate of waiverApr 30, 2027
45D2261906Urology Clinics of North Texas12606 Greenville Ave Suite 185, Dallas, TX 75243Certificate of waiverJun 6, 2028
45D2314670Urology Clinics of North Texas221 W Colorado Blvd Suite 940, Dallas, TX 75208Provider-performed microscopyNov 24, 2026

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

1020 Cleveland Rd
Saraland, AL 36571
Phone (251) 675-4733

971 Broad St
Augusta, GA 30901
Phone (844) 563-0239

1105 Central Expy N
Ste 150
Allen, TX 75013

4325 N Josey Ln
Ste 111
Carrollton, TX 75010
Phone (972) 394-3699

3417 Gaston Ave
Ste 830
Dallas, TX 75246
Phone (214) 826-6235

7515 Greenville Ave
Ste 408
Dallas, TX 75231

7777 Forest Ln
Ste A
Dallas, TX 75230

8230 Walnut Hill Ln
Ste 700
Dallas, TX 75231

9900 N Central Expy
#130
Dallas, TX 75231

9900 N Central Expy
Ste 100
Dallas, TX 75231

3204 Colorado Blvd
Denton, TX 76210
Phone (940) 566-0746

4370 Medical Arts Dr
Ste 105
Flower Mound, TX 75028
Phone (940) 382-9429

4312 Heritage Trace Pkwy
Fort Worth, TX 76244

16050 Everwell Ln
Ste 401A
Frisco, TX 75033
Phone (469) 678-8370

6500 Naaman Forest Blvd
Garland, TX 75044
Phone (214) 257-0682

5252 W University Dr
Ste 210
McKinney, TX 75071

1650 Republic Pkwy
Mesquite, TX 75150
Phone (972) 698-1140

920 Highway 352
Mesquite, TX 75149

920 Highway 352
Ste 100
Mesquite, TX 75149
Phone (214) 345-8008

4708 Alliance Blvd
Ste 835
Plano, TX 75093
Phone (972) 309-0005

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Texas Institute for Surgery at Presbyterian Hospital DallasDallas, TX, CCN 450889 Hospital Limited Partnership Interest (3.67%) Oct 8, 2004

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 93

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 93

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766016000000",
    "number": "1720031370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 REPUBLIC PKWY STE 130",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751506920",
            "telephone_number": "214-692-8262",
            "fax_number": "214-696-4190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8230 WALNUT HILL LN",
            "address_2": "SUITE 700",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314482",
            "telephone_number": "214-691-1902",
            "fax_number": "214-987-1845"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7777 Forest Ln Ste C565",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752306847",
            "country_code": "US",
            "telephone_number": "972-566-7765",
            "fax_number": "972-566-4656",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3417 Gaston Ave Ste 830",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752462032",
            "country_code": "US",
            "telephone_number": "214-826-6021",
            "fax_number": "214-823-9745",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "221 W Colorado Blvd Ste 443",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752082312",
            "country_code": "US",
            "telephone_number": "214-271-9971",
            "fax_number": "214-271-9972",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6460 Naaman Forest Blvd",
            "address_purpose": "LOCATION",
            "city": "Garland",
            "state": "TX",
            "postal_code": "750445601",
            "country_code": "US",
            "telephone_number": "972-494-6764",
            "fax_number": "972-494-6893",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "920 Highway 352 Ste 100",
            "address_purpose": "LOCATION",
            "city": "Mesquite",
            "state": "TX",
            "postal_code": "751496805",
            "country_code": "US",
            "telephone_number": "972-270-8859",
            "fax_number": "972-279-5551",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12606 Greenville Ave Ste 160",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752431915",
            "country_code": "US",
            "telephone_number": "214-691-9377",
            "fax_number": "469-364-7895",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12606 Greenville Ave Ste 185",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752431921",
            "country_code": "US",
            "telephone_number": "469-547-6541",
            "fax_number": "469-547-6545",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "UROLOGY CLINICS OF NORTH TEXAS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-17",
        "last_updated": "2025-12-18",
        "certification_date": "2025-12-18",
        "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": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "TX",
            "license": "K3232",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "TX",
            "license": "M0918",
            "primary": true
        },
        {
            "code": "2088P0231X",
            "taxonomy_group": "",
            "desc": "Urology, Pediatric Urology",
            "state": "TX",
            "license": "G9345",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE GROUP",
            "identifier": "CI6342",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1720031370",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP",
            "identifier": "0036DE",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.