Provider Demographics
NPI:1447289368
Name:LAHIJI UROLOGY CENTERS, P.A.
Entity type:Organization
Organization Name:LAHIJI UROLOGY CENTERS, P.A.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HOSSEIN
Authorized Official - Middle Name:
Authorized Official - Last Name:LAHIJI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:956-687-8080
Mailing Address - Street 1:801 E NOLANA ST STE 20
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78504-6106
Mailing Address - Country:US
Mailing Address - Phone:956-687-8080
Mailing Address - Fax:956-668-9595
Practice Address - Street 1:801 E NOLANA ST STE 20
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78504-6106
Practice Address - Country:US
Practice Address - Phone:956-687-8080
Practice Address - Fax:956-668-9595
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-02
Last Update Date:2009-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ9145174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXCK8725OtherRAILROAD
TX157053301Medicaid
TX0087JSOtherBCBS
TX00736UMedicare PIN
TXCK8725OtherRAILROAD