Provider Demographics
NPI:1104149426
Name:COLLIN COUNTY UROLOGY
Entity type:Organization
Organization Name:COLLIN COUNTY UROLOGY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:LOUIS
Authorized Official - Last Name:PADALINO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:972-596-6733
Mailing Address - Street 1:1220 COIT RD
Mailing Address - Street 2:SUITE 107
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75075-7757
Mailing Address - Country:US
Mailing Address - Phone:972-596-6733
Mailing Address - Fax:972-769-9589
Practice Address - Street 1:1220 COIT RD
Practice Address - Street 2:SUITE 107
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75075-7757
Practice Address - Country:US
Practice Address - Phone:972-596-6733
Practice Address - Fax:972-769-9589
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-02
Last Update Date:2010-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN3222208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00BF12Medicare PIN