North Central Texas Urology, PLLC

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

H1067 Issued in TX

Legal business name

NORTH CENTRAL TEXAS UROLOGY, PLLC

Practice address

805 Hill Blvd
Ste 106-107
Grandbury, TX 76048-1481

Phone

(817) 599-3690

Fax

(817) 599-6633

NPI assigned

Apr 3, 2013

Last updated

Jun 16, 2020By 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

Avi T Deshmukh, MDNPI 1386640415

Title

Owner/ Manager

Phone

(817) 599-3690

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Avi Deshmukh, M.D.

  • Urology Physician
  • Granbury, TX
  • NPI 1386640415
  Authorized official Same address or phone

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

{
    "created_epoch": "1364947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592265600000",
    "number": "1780927152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 HILL BLVD",
            "address_2": "STE 106-107",
            "city": "GRANDBURY",
            "state": "TX",
            "postal_code": "760481481",
            "telephone_number": "817-599-3690",
            "fax_number": "817-599-6633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 HILL BLVD",
            "address_2": "STE 106-107",
            "city": "GRANDBURY",
            "state": "TX",
            "postal_code": "760481481",
            "telephone_number": "817-599-3690",
            "fax_number": "817-599-6633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH CENTRAL TEXAS UROLOGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-03",
        "last_updated": "2020-06-16",
        "certification_date": "2020-06-16",
        "status": "A",
        "authorized_official_last_name": "DESHMUKH",
        "authorized_official_first_name": "AVI",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER/ MANAGER",
        "authorized_official_telephone_number": "817-599-3690",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "TX",
            "license": "H1067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2020; 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.