North Central Urology PA

NPI #1174703623 in Colleyville, Texas

Provider Information

NPI Number: 1174703623
Entity Type: Organization
Organization Name: North Central Urology PA
Primary Specialty: Urology
Enumeration Date: Nov 13, 2007
Last Updated: Aug 27, 2012

Practice Location

Address: 4218 GATEWAY DRIVE
Address 2: SUITE 100
City: Colleyville
State: Texas
ZIP Code: 76034
Phone: (817) 283-1860

Authorized Official

Name: J NOVITSKI, B.S.B.A.
Title: BUSINESS MANAGER
Phone: (817) 283-1860

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Urology	208800000X	Primary

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