Urology Tyler, PA

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

UROLOGY TYLER, PA

Practice address

7909 Fredericksburg Rd
#150
San Antonio, TX 78229-3425

Phone

(210) 521-7700

Fax

(210) 521-7710

NPI assigned

Mar 14, 2007

Organization subpart

No

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

Authorized official

Name

Stanton Pyburn Champion, M.D.

Title

President

Phone

(903) 262-3900

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184198400000",
    "number": "1780718809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 OLYMPIC PLAZA CIR",
            "address_2": "#700",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757011951",
            "telephone_number": "903-262-3900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7909 FREDERICKSBURG RD",
            "address_2": "#150",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293425",
            "telephone_number": "210-521-7700",
            "fax_number": "210-521-7710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UROLOGY TYLER, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2007-07-12",
        "status": "A",
        "authorized_official_last_name": "CHAMPION",
        "authorized_official_first_name": "STANTON",
        "authorized_official_middle_name": "PYBURN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "903-262-3900",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Urology San Antonio
• Urology San Antonio P a
• Urology San Antonio PA
• Urology San Antonio, P.a.
• Urology San Antonio, P.a.
• Urology With Dignity PA
• Michael Urrabazo, RN
• Gabriel Alberto Urrea-Botero, MD
• Cecilia Urrutia, CNIM
• Rosemarie Almazon Ursal, REGISTERED NURSE

• Clinical Medical Laboratory in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Clinical Medical Laboratory in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 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.