Texoma Urology Center

NPI 1003836040 - Urology - 208800000X

NPI Details
NPI 1003836040
Enumeration Date 07/20/2006
Last Updated 11/05/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name PHILLIP E PHILLIP
Position PRESIDENT
Phone (940) 689-8765
Fax (940) 689-8769
Practice Location
5500 KELL WEST BLVD.
SUITE 200
WICHITA FALLS TX, 76310-1612, US
Phone (940) 689-8765
Fax (940) 689-8769
Business Location
5500 KELL WEST BLVD.
SUITE 200
WICHITA FALLS TX, 76310-1612, US
Phone (940) 689-8765
Fax (940) 689-8769
Toxanomy
Taxonomy Code 208800000X
License State Texas
License Number H6172
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According to our database, Texoma Urology Center NPI is 1003836040, taxonomy code is 208800000X and license number is H6172, license state is located at Texas. Texoma Urology Center physically located at 5500 Kell West Blvd., Wichita Falls TX, 76310-1612. NPI Number 1033115704 has the healthcare provider type.

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1003836040 NPI number is provided on an as is basis without warranty of any kind. 1003836040 is maintained by the National Plan & Provider Enumeration System. The contents of Texoma Urology Center are for informational purposes only.