Jasper Urology Associates

NPI #1659378602 in Jasper, Texas

Provider Information

NPI Number: 1659378602
Entity Type: Organization
Organization Name: Jasper Urology Associates
Primary Specialty: Urology
Enumeration Date: Jul 6, 2005
Last Updated: Jun 23, 2010

Practice Location

Address: 215 E WATER ST
City: Jasper
State: Texas
ZIP Code: 75951-4440
Phone: (409) 384-6835

Authorized Official

Name: DR. MAGED RAMZY BOTROS, MD
Title: PRESIDENT ( OWNER )
Phone: (409) 384-6835

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Urology	208800000X	Primary

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