Healthcare Provider Details
I. General information
NPI: 1245281922
Provider Name (Legal Business Name): HOUSTON METRO UROLOGY
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/15/2006
Last Update Date: 09/24/2021
Certification Date: 09/24/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7777 SOUTHWEST FWY SUITE 1032
HOUSTON TX
77074-1802
US
IV. Provider business mailing address
PO BOX 20816
BELFAST ME
04915-4105
US
V. Phone/Fax
- Phone: 713-351-0644
- Fax: 713-351-0633
- Phone: 713-351-0644
- Fax: 713-351-0633
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 174400000X |
| Taxonomy | Specialist |
| License Number | |
| License Number State | TX |
VIII. Authorized Official
Name: DR.
ZVI
J
SCHIFFMAN
Title or Position: PRESIDENT
Credential: M.D.
Phone: 713-771-9224