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General NPI Number Information
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NPI Number | 1225110323
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Entity Type | Organization
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Legal Business Name | STAR UROLOGY OF TEXAS, P.A.
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Dates
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Enumeration Date | 10/19/2006
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Last Update Date | 07/22/2020
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Provider Practice Location Address
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Address Line | 200 NORTHGATE DR
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City | WAXAHACHIE
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State | TX
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Zip | 75165
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Country | US
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Telephone | 214-980-1920
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Fax | 214-980-1686
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Provider Business Mailing Address
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Address Line | 200 NORTHGATE DR
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City | WAXAHACHIE
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State | TX
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Zip | 75165
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Country | US
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Telephone | 214-980-1920
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Fax | 214-980-1686
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Authorized Official
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Title or Position | OWNER/PROVIDER
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Name | DR. FRANCIS O NWAFOR
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Credential | M.D.
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Telephone | 214-980-1920
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number | K8388
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License Number State | TX
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