Urology Center Of East Texas, P.a.

NPI 1720097694 - Specialist - 174400000X

NPI Details
NPI 1720097694
Enumeration Date 08/07/2006
Last Updated 04/15/2015
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name JUANICE JUANICE
Position ADMINISTRATIVE ASSISTANT
Phone (903) 675-9339
Fax (903) 675-9344
Practice Location
1701 SOUTH PALESTINE
SUITE A
ATHENS TX, 75751-5739, US
Phone (903) 675-9339
Fax (903) 675-9344
Business Location
1701 SOUTH PALESTINE
SUITE A
ATHENS TX, 75751-5739, US
Phone (903) 675-9339
Fax (903) 675-9344
Toxanomy
Taxonomy Code 174400000X
License State
License Number
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According to our database, Urology Center Of East Texas, P.a. NPI is 1720097694, taxonomy code is 174400000X Urology Center Of East Texas, P.a. physically located at 1701 South Palestine, Athens TX, 75751-5739. NPI Number 1033115704 has the healthcare provider type.

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1720097694 NPI number is provided on an as is basis without warranty of any kind. 1720097694 is maintained by the National Plan & Provider Enumeration System. The contents of Urology Center Of East Texas, P.a. are for informational purposes only.