National Provider Identifier Database

NORTH CENTRAL UROLOGY PA
Urology

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.


Contact Information

NORTH CENTRAL UROLOGY PA
4218 GATEWAY DRIVE
SUITE 100
COLLEYVILLE, TX76034
Phone: 817-283-1860
Fax: 817-283-2175
Website:
Specialty Taxonomy Code
* Urology 208800000X

* Indicates primary specialty

NPI Profile & details for NORTH CENTRAL UROLOGY PA

NPI Number 1174703623
Legal business name
LBN
NORTH CENTRAL UROLOGY PA
Authorized official J NOVITSKI - (BUSINESS MANAGER)
Entity Organization
Organization subpart No
Enumeration date 11/13/2007
Last updated 08/27/2012 - About 14 years ago
Sole proprietor1 Not specified
Identifiers
  • TX License #: H0705
  • TX Medicaid: 170333201
  • TX Medicaid: 170333202
  • TX Medicaid: 170333203
  • Other: DC1932 MEDICARE RR
  • Other: P00153491 MEDICARE RR

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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