Organization · NPI-2

Associates In Urology

Urology · Fort Worth, TX

NPI number1013115153
StatusActive
Last updated in NPPESJul 10, 2007

Details

NPI
1013115153
Entity type
Organization (NPI-2)
Legal business name
Associates In Urology
Organization subpart
No
Enumeration date
Jul 10, 2007
Last updated
Jul 10, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208800000X UrologyF3657TXYes

Practice location

1821 8th Ave
Fort Worth, TX 76110-1308

Phone 817-923-7353 · Fax 817-923-7357

Mailing address

1821 8th Ave
Fort Worth, TX 76110-1308

Phone 817-923-7353 · Fax 817-923-7357

Authorized official

Michael C Walter
Physician
8179237353

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