Active NPI
Urology Clinics of North Texas, PLLC
- Urology Physician
- Dallas, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- M0918
- 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
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0036DE | Other | BCBS GROUP | |
| 1720031370 | Medicaid | TX | |
| CI6342 | Other | TX | RR MEDICARE GROUP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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).
-
- Durable Medical Equipment & Medical Supplies
- Dallas, TX
- NPI 1528237260
5496736415
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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D0480489 | Urology Clinic of North Texas PA | Provider-performed microscopy | Jan 17, 2027 |
| 45D0481642 | Urology Clinics of North Texas PA | Provider-performed microscopy | Jan 26, 2028 |
| 45D0722182 | Urology Clinics of North Texas | Provider-performed microscopy | Aug 31, 2027 |
| 45D1016875 | Urology Clinics of North Texas | Certificate of waiver | Oct 13, 2027 |
| 45D1064174 | Urology Clinics of North Texas | Certificate of waiver | Feb 24, 2028 |
| 45D1096496 | Urology Clinics of North Texas | Certificate of waiver | Apr 8, 2027 |
| 45D2233446 | Urology Clinics of North Texas | Certificate of waiver | Apr 30, 2027 |
| 45D2261906 | Urology Clinics of North Texas | Certificate of waiver | Jun 6, 2028 |
| 45D2314670 | Urology Clinics of North Texas | Provider-performed microscopy | Nov 24, 2026 |
National Provider Directory
National Provider DirectoryLocations
971 Broad St
Augusta, GA 30901
Phone (844) 563-0239
1105 Central Expy N
Ste 150
Allen, TX 75013
9900 N Central Expy
#130
Dallas, TX 75231
9900 N Central Expy
Ste 120
Dallas, TX 75231
Phone (214) 580-2265
7777 Forest Ln
Ste A230
Dallas, TX 75230
Phone (972) 566-7765
8230 Walnut Hill Ln
Ste 700
Dallas, TX 75231
7777 Forest Ln
Ste C565
Dallas, TX 75230
Phone (972) 566-7765
8230 Walnut Hill Ln
Ste 310
Dallas, TX 75231
Phone (214) 368-5266
7777 Forest Ln
Ste A
Dallas, TX 75230
9900 N Central Expy
Ste 100
Dallas, TX 75231
7515 Greenville Ave
Ste 408
Dallas, TX 75231
6500 Naaman Forest Blvd
Garland, TX 75044
Phone (214) 257-0682
2241 Peggy Ln
Ste E
Garland, TX 75042
Phone (972) 276-6191
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
4708 Alliance Blvd
Ste 630
Plano, TX 75093
Phone (972) 691-1902
4708 Alliance Blvd
Ste 685
Plano, TX 75093
Phone (214) 540-0623
4708 Alliance Blvd
Ste 1
Plano, TX 75093
Phone (469) 910-9311
890 Rockwall Pkwy
Ste 110
Rockwall, TX 75032
Phone (972) 494-6764
129 N Collins Rd
Ste 2207
Sunnyvale, TX 75182
Phone (214) 345-8060
341 Wheatfield Dr
Sunnyvale, TX 75182
Phone (972) 686-6400
2800 E Highway 114
Trophy Club, TX 76262
Phone (817) 837-3000
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.
| Facility | Type | Role | Since |
|---|---|---|---|
| Texas Institute for Surgery at Presbyterian Hospital Dallas | 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.
-
- General Acute Care Hospital
- Dallas, TX
- NPI 1245201656
Limited Partnership Interest
Practitioners & affiliated clinicians
Practitioners 94
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Radiation Oncology Physician
- Plano, TX
- NPI 1790786879
Radiation Oncology, TX
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": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Hematology & Oncology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": null,
"license": null,
"primary": false
},
{
"code": "2085R0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Radiation Oncology",
"state": "TX",
"license": "K3232",
"primary": false
},
{
"code": "208800000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Urology",
"state": "TX",
"license": "M0918",
"primary": true
},
{
"code": "2088P0231X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Urology, Pediatric Urology",
"state": "TX",
"license": "G9345",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS GROUP",
"identifier": "0036DE",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1720031370",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE GROUP",
"identifier": "CI6342",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.