Wallace Urology Inc

LBN: Wallace Urology Inc
Wallace Urology Inc is an health care organization with primary practice located at 1325 Eastmoreland Ave Ste 425 , Memphis TN 38104-7541. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as the primary health care specialty. Wallace Urology Inc can be contacted via phone (901) 272-3200, or through Wallace, Charles Russell via phone (901) 272-3200.

Contact Information

Primary practice address
1325 Eastmoreland Ave Ste 425 Memphis TN 38104-7541
Phone: (901) 272-3200
Fax: (901) 278-3441
Website:
Map and Directions
Authorized official contact:
Name: Wallace, Charles Russell Doctor of Medicine (MD)
Phone: (901) 272-3200

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 015359 Tennessee

Profile Details

NPI number 1316496664
LBN Legal business name Wallace Urology Inc
DBA Doing business as
Authorized official Wallace, Charles Russell Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 28th, 2016
Last updated Sep 28th, 2016 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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