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NPI Code Detail

MEDICARE: TEXAS CENTER FOR UROLOGY LLP

MEDICARE: TEXAS CENTER FOR UROLOGY LLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208800000XUrology PhysicianK3430TX

General Provider Information

NPI Number : 1366710196
Entity Type Code : Organization
Provider Name (Legal Business Name) : TEXAS CENTER FOR UROLOGY LLP
Provider Business Mailing Address
First Line : 2900 ACME BRICK PLZ
Second Line :
City : FORT WORTH
State : TX
Zip : 76109-4123
Country : US
Telephone Number : 817-871-9069
Fax Number : 817-871-9067
Provider Business Practice Location Address
First Line : 2900 ACME BRICK PLZ
Second Line :
City : FORT WORTH
State : TX
Zip : 76109-4123
Country : US
Telephone Number : 817-871-9069
Fax Number : 817-871-9067
Authorized Official
Title or Position : OWNER
Name : TODD YOUNG
Credential : DO
Telephone Number : 817-871-9069
Provider Enumeration Date : 12/07/2011
Last Update Date : 12/08/2025

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Directions to “TEXAS CENTER FOR UROLOGY LLP ” Practice Location

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