Provider Demographics
NPI:1558608026
Name:UROLOGY WITH DIGNITY PA
Entity Type:Organization
Organization Name:UROLOGY WITH DIGNITY PA
Other - Org Name:JOAN T MEANEY MD PA
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CINDY
Authorized Official - Middle Name:
Authorized Official - Last Name:MARTINEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-593-4392
Mailing Address - Street 1:4499 MEDICAL DR
Mailing Address - Street 2:SUITE151
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-3735
Mailing Address - Country:US
Mailing Address - Phone:210-593-4392
Mailing Address - Fax:210-593-0152
Practice Address - Street 1:4499 MEDICAL DR
Practice Address - Street 2:SUITE 151
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-3735
Practice Address - Country:US
Practice Address - Phone:210-593-4392
Practice Address - Fax:210-593-0152
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-03
Last Update Date:2013-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH4546208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX126427705Medicaid
TX126427705Medicaid
TX8514M0Medicare PIN