BAY AREA UROLOGY ASSOCIATES
Urology at Professional Park Dr, Houston, TX

License number
Texas D5240
Category
Radiology
Type
Urology
Owner
Name: DR. HENRY R WAGNER JR. M.D.
Title: OWNER
Phone: (281) 332-9502
Address
Address
8 Professional Park Dr, Houston, TX 77598
National Provider ID: 1205955416
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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BAY AREA UROLOGY ASSOCIATES

8 Professional Park Dr, Webster, TX 77598

Industry:
Physicians
Registration:
Nov 7, 1978
Phone:
(281) 332-9502 (Phone)
State ID:
0080452803
Business type:
Professional Association
President , Treasurer , Director , Member , Secretary , Vice-President:
H. R. Wagner (President , Treasurer , Director , Member , Secretary , Vice-President)
Agent:
Henry R Wagner Jr,#8 Professional Park Dr, Webster, TX 77598 (Physical)
TIN:
32036050881

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