Mainland Urology Clinic PA
Urology in Dickinson, TX. Organization (NPI-2).
NPI number1881743516
StatusActive
Last updated in NPPESSep 25, 2014
Details
- NPI
- 1881743516
- Entity type
- Organization (NPI-2)
- Legal business name
- Mainland Urology Clinic PA
- Organization subpart
- No
- Enumeration date
- Jan 10, 2007
- Last updated
- Sep 25, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208800000X | Urology | J1130 | TX | Yes |
Practice location
313 Fm 517 Rd WDickinson, TX 77539-4009
Phone 281-967-7912 · Fax 281-967-7915
Mailing address
313 Fm 517 Rd WDickinson, TX 77539-4009
Phone 281-967-7912 · Fax 281-967-7915
Authorized official
Matthew Miles Robinson
President
2819677912
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