Active NPI
Urology Associates of North Texas LLP
- Urology Physician
- Arlington, TX
National Provider Identifier
1790778256
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 109535803 | Medicaid | TX |
National Provider Directory
National Provider DirectoryNPI 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.