Provider Demographics
NPI:1598917106
Name:UROLOGY SPECIALISTS PA
Entity Type:Organization
Organization Name:UROLOGY SPECIALISTS PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STUART
Authorized Official - Middle Name:
Authorized Official - Last Name:ZYKORIE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-444-7077
Mailing Address - Street 1:17070 RED OAK DR
Mailing Address - Street 2:SUITE 407
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77090-2619
Mailing Address - Country:US
Mailing Address - Phone:281-444-7077
Mailing Address - Fax:281-444-5799
Practice Address - Street 1:17198 ST LUKES WAY
Practice Address - Street 2:SUITE 410
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77384-8011
Practice Address - Country:US
Practice Address - Phone:281-444-7077
Practice Address - Fax:281-444-5799
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-14
Last Update Date:2010-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF8742208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00Z516Medicare PIN