Greater Austin Urology, Pllc

NPI #1215443064 in Austin, Texas

Provider Information

NPI Number: 1215443064
Entity Type: Organization
Organization Name: Greater Austin Urology, Pllc
Primary Specialty: Urology
Enumeration Date: Dec 15, 2017
Last Updated: May 29, 2018

Practice Location

Address: 11673 JOLLYVILLE RD STE B101
City: Austin
State: Texas
ZIP Code: 78759
Phone: (512) 540-3937

Authorized Official

Name: LUCAS JACOMIDES, MD
Title: OWNER/PRINCIPAL
Phone: (512) 540-3937

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Urology	208800000X	Primary

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