Organization Active NPI

Urology Associates of North Texas LLP

  • Urology Physician
  • Arlington, TX
National Provider Identifier
1790778256
Registry record updated Dec 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
UROLOGY ASSOCIATES OF NORTH TEXAS LLP
Practice address
811 W Interstate 20
Suite 114
Arlington, TX 76017
Phone
(817) 784-0818
Fax
(817) 276-1861
NPI assigned
Aug 30, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2011

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

Authorized official

Name
Theresa D Wilson
Title
Central Business Office Manager
Phone
(817) 303-4521

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X Primary

Addresses

Primary practice location

811 W Interstate 20
Suite 114
Arlington, TX 76017

Mailing address

PO Box 120549
Arlington, TX 76012-0549
Phone (817) 303-4521

Other identifiers 1

IdentifierTypeStateIssuer
109535803MedicaidTX

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1125360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323216000000",
    "number": "1790778256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 120549",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760120549",
            "telephone_number": "817-303-4521",
            "fax_number": "817-459-2856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 W INTERSTATE 20",
            "address_2": "SUITE 114",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "76017",
            "telephone_number": "817-784-0818",
            "fax_number": "817-276-1861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UROLOGY ASSOCIATES OF NORTH TEXAS LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-30",
        "last_updated": "2011-12-07",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "THERESA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CENTRAL BUSINESS OFFICE MANAGER",
        "authorized_official_telephone_number": "817-303-4521"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "109535803",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2011; 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.