{"npi":"1720031370","type":"NPI-2","status":"active","name":{"display":"Urology Clinics Of North Texas, PLLC","other":[],"organization_name":"UROLOGY CLINICS OF NORTH TEXAS, PLLC","authorised_official":"Jerri Wilson"},"specialty":{"primary_taxonomy":"208800000X","primary_taxonomy_description":"Urology Physician","slug":"urology-physician","schema_org_specialty":null,"all":[{"code":"207RH0003X","description":"Hematology & Oncology","primary":false,"state":null,"license":null},{"code":"2088P0231X","description":"Pediatric Urology Physician","primary":false,"state":"TX","license":"G9345"},{"code":"2085R0001X","description":"Radiation Oncology Physician","primary":false,"state":"TX","license":"K3232"},{"code":"207ZP0102X","description":"Anatomic & Clinical Pathology","primary":false,"state":null,"license":null},{"code":"208800000X","description":"Urology Physician","primary":true,"state":"TX","license":"M0918"}]},"addresses":[{"purpose":"LOCATION","street_1":"8230 WALNUT HILL LN","city":"DALLAS","state":"TX","postal_code":"752314482","country_code":"US","street_2":"SUITE 700","phone":"2146911902","fax":"2149871845"},{"purpose":"MAILING","street_1":"1650 REPUBLIC PKWY STE 130","city":"MESQUITE","state":"TX","postal_code":"751506920","country_code":"US","phone":"2146928262","fax":"2146964190"}],"license":{"state":"TX","number":"M0918"},"identifiers":[{"type_code":"01","label":"Other","value":"0036DE","state":null,"issuer":"BCBS GROUP"},{"type_code":"05","label":"Medicaid","value":"1720031370","state":"TX","issuer":null},{"type_code":"01","label":"Other","value":"CI6342","state":"TX","issuer":"RR MEDICARE GROUP"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20040526000711","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"TX","pac_id":"5496736415"}]},"enumeration_date":"2006-05-17","last_updated":"2025-12-18","_meta":{"source":"NPPES","snapshot_date":"2025-12-18","doc_url":"https://findmynpi.com/api"}}