Provider Demographics
NPI:1528138864
Name:DENTON UROLOGY
Entity type:Organization
Organization Name:DENTON UROLOGY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:C
Authorized Official - Last Name:ADMIRE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:940-387-2241
Mailing Address - Street 1:2401 W OAK ST
Mailing Address - Street 2:SUITE 102
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76201-2379
Mailing Address - Country:US
Mailing Address - Phone:940-387-2241
Mailing Address - Fax:940-380-1374
Practice Address - Street 1:2401 W OAK ST
Practice Address - Street 2:SUITE 102
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76201-2379
Practice Address - Country:US
Practice Address - Phone:940-387-2241
Practice Address - Fax:940-380-1374
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-08
Last Update Date:2010-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00962NMedicare ID - Type UnspecifiedMEDICARE GROUP