Provider Demographics
NPI:1215912076
Name:MINTZ, URI M (MD)
Entity type:Individual
Prefix:
First Name:URI
Middle Name:M
Last Name:MINTZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11044 RESEARCH BLVD
Mailing Address - Street 2:D400
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78759-5263
Mailing Address - Country:US
Mailing Address - Phone:512-343-2103
Mailing Address - Fax:512-343-7086
Practice Address - Street 1:11044 RESEARCH BLVD
Practice Address - Street 2:D400
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78759-5263
Practice Address - Country:US
Practice Address - Phone:512-343-2103
Practice Address - Fax:512-343-7086
Is Sole Proprietor?:No
Enumeration Date:2005-12-14
Last Update Date:2007-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK6893207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology