NPI age
17 years
Enumerated 2008-07-18
Across 1194 active urology providers in Texas.
4 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (IL) | 036144098 | STATE LICENSE |
Part of a multi-provider practice. 5 other active providers share this practice address in NPPES.
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