MEDICARE: HOUSTON UROLOGY PARTNERS P.A.

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
1	174400000X	Specialist

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	1558330498	OTHER		NPI DR. PANDYA
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8	1740225960	OTHER		NPI DR FELDMAN
9	45D1047195	OTHER	TX	CLIA ID

General Provider Information

NPI Number	:	1710996061
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOUSTON UROLOGY PARTNERS P.A.

Provider Business Mailing Address
First Line	:	PO BOX 5175
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77262-5175
Country	:	US
Telephone Number	:	713-861-9990
Fax Number	:	713-861-9991

Provider Business Practice Location Address
First Line	:	2724 YALE ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77008-2120
Country	:	US
Telephone Number	:	713-861-9990
Fax Number	:	713-861-9991

Authorized Official
Title or Position	:	PRESEDENT
Name	:	PULIN PANDYA
Credential	:	M.D.
Telephone Number	:	713-861-9990

Provider Enumeration Date	:	08/05/2006
Last Update Date	:	11/12/2009

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