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Urology Center Of East Texas, P.a.
Specialist in Athens, Texas
NPI 1720097694

Urology Center Of East Texas, P.a. is a Specialist based in Athens, TX. Urology Center Of East Texas, P.a. practices in Athens, TX. The NPI Number for Urology Center Of East Texas, P.a. is 1720097694 and holds a License No. (Texas).

The current practice location address for Urology Center Of East Texas, P.a. is 1701 South Palestine, Athens, TX and can be reached out via phone at 903-675-9339 and via fax at 903-675-9344.

Location: 1701 South Palestine, Athens, TX, 75751-5739
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1720097694
Provider Name
Urology Center Of East Texas, P.a.
Credential
Provider Entity Type
Organization
Address
1701 South Palestine, Athens, TX, 75751-5739
Phone Number
903-675-9339
Fax Number
903-675-9344
Provider Enumeration Date
08/07/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0806614-03 05 TX
00901R 01 TX BCBS
institution
Provider Business Practice Location Address Details
Address
1701 South Palestine
City
Athens
State
Texas
Zip
75751-5739
Phone Number
903-675-9339
Fax Number
903-675-9344
person
Provider Business Mailing Address Details
Address
1701 South Palestine
City
Athens
State
Texas
Zip
75751-5739
Phone Number
903-675-9339
Fax Number
903-675-9344
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
()
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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