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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 Specialty Code Provider Type

Urology

208800000X 34 Physician/Urology
Indicates primary specialty

NPI Profile & details for NORTH CENTRAL UROLOGY PA

NPI Number 1174703623
LBN Legal business name NORTH CENTRAL UROLOGY PA
Authorized official J NOVITSKI - (BUSINESS MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 11/13/2007
Last updated 08/27/2012 - About 14 years ago
Identifiers
TX License # H0705
TX Medicaid 170333201
TX Medicaid 170333202
TX Medicaid 170333203
Other DC1932 MEDICARE RR
Other P00153491 MEDICARE RR
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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