Provider Demographics
NPI:1942288055
Name:J. PATRICK MCGRAEL MD UROLOGY & ASSOCIATES PA
Entity Type:Organization
Organization Name:J. PATRICK MCGRAEL MD UROLOGY & ASSOCIATES PA
Other - Org Name:MCGRAEL UROLOGY ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KIM
Authorized Official - Middle Name:
Authorized Official - Last Name:MOORE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:903-548-0016
Mailing Address - Street 1:5012 S US HIGHWAY 75
Mailing Address - Street 2:SUITE 215
Mailing Address - City:DENISON
Mailing Address - State:TX
Mailing Address - Zip Code:75020-4587
Mailing Address - Country:US
Mailing Address - Phone:903-548-0011
Mailing Address - Fax:903-548-0020
Practice Address - Street 1:5012 S US HIGHWAY 75
Practice Address - Street 2:SUITE 215
Practice Address - City:DENISON
Practice Address - State:TX
Practice Address - Zip Code:75020-4587
Practice Address - Country:US
Practice Address - Phone:903-548-0011
Practice Address - Fax:903-548-0020
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-09
Last Update Date:2019-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00839ZMedicare ID - Type Unspecified