AUSTIN UROLOGY INSTITUTE, PA
Medical Practice at Renfert Way, Austin, TX

License number
Texas M0272
Category
Medical Practice
Type
Specialist
Owner
Name: KOUSIK SHAW M.D.
Title: OWNER/PRESIDENT
Phone: (512) 694-8888
Address
Address
12201 Renfert Way SUITE 300, Austin, TX 78758
National Provider ID: 1407157845
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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AUSTIN UROLOGY INSTITUTE, PA

Austin, TX

Industry:
Medical Doctor's Office, Offices and Clinics of Medical Doctors, Nsk
Doing business as:
Austin Urology Institute, PA
Registration:
Sep 30, 2010
Addresses:
2909 Waterbank Cv, Austin, TX 78746 (Mailing)
12319 N Mo Pac Expy, Austin, TX 78758
State ID:
0801325369
Business type:
Professional Association
Secretary, Treasurer, Director, Member, President:
Koushik Shaw (Secretary, Treasurer, Director, Member, President)
TIN:
32042745250

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