| NPI | 1619383650 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WARREN SNODGRASS Owner 214-618-4405 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208800000X Urology |
| Additional Taxonomies | 2088P0231X Urology, Pediatric Urology |
| Enumeration Date | 2014-07-10 |
| Last Update Date | 2014-07-10 |