Healthcare Provider Details

I. General information

NPI: 1659313252
Provider Name (Legal Business Name): UROLOGY ASSOCIATES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/11/2006
Last Update Date: 04/20/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11000 HEFNER POINTE DR
OKLAHOMA CITY OK
73120-5039
US

IV. Provider business mailing address

11000 HEFNER POINTE DR
OKLAHOMA CITY OK
73120-5039
US

V. Phone/Fax

Practice location:
  • Phone: 405-749-9655
  • Fax: 405-749-1001
Mailing address:
  • Phone: 405-749-9655
  • Fax: 405-749-1001

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208800000X
TaxonomyUrology Physician
License Number
License Number State

VIII. Authorized Official

Name: DANIEL P BARNES
Title or Position: VICE-PRESIDENT
Credential: M.D.
Phone: 405-749-9655