Keith A Waguespack (NPI# 1124014659, PAC ID# 2567446628) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is UROLOGY.
Nation Provider ID (NPI) | 1124014659 |
PAC ID by PECOS | 2567446628 |
Professional Enrollment ID | I20040616000306 |
Full Name | Keith A Waguespack |
Organization Legal Name | UROLOGY PARTNERS OF NORTH TEXAS, PLLC |
Address |
2021 N Macarthur Blvd Suite 450 Irving TX 75061-2219 |
Phone Number | 8663678768 |
Gender | M |
Credential | MD |
Medical School | UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS |
Graduation Year | 1999 |
Primary Specialty | UROLOGY |
Group Practice PAC ID | 7315283454 |
Number of Group Practice Members | 26 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
450874 | BAYLOR SURGICAL HOSPITAL AT LAS COLINAS |
450822 | MEDICAL CITY LAS COLINAS |
450079 | BAYLOR SCOTT & WHITE MEDICAL CENTER AT IRVING |
Address | Phone | Organization |
---|---|---|
2021 N Macarthur Blvd, Suite 450, Irving, TX 75061-2219 | 8663678768 | UROLOGY PARTNERS OF NORTH TEXAS, PLLC |
Organization Legal Name | UROLOGY PARTNERS OF NORTH TEXAS, PLLC |
Physicians | 25 |
Name | Specialty | Organization | Address |
---|---|---|---|
Paul C Chan | Urology | Urology Partners of North Texas, Pllc | 5005 S Cooper St, Suite 250, Arlington, TX 76017-5996 |
Justin T Lee | Urology | Urology Partners of North Texas, Pllc | 1901 N Macarthur Blvd, Baylor Medical Center At Irving, Irving, TX 75061-2220 |
Scott A Thurman | Urology | Urology Partners of North Texas, Pllc | 1901 N Macarthur Blvd, Baylor Medical Center At Irving, Irving, TX 75061-2220 |
Keith R Xavier | Urology | Urology Partners of North Texas, Pllc | 1901 N Macarthur Blvd, Baylor Medical Center At Irving, Irving, TX 75061-2220 |
Tony Mammen | Urology | Urology Partners of North Texas, Pllc | 1901 N Macarthur Blvd, Baylor Medical Center At Irving, Irving, TX 75061-2220 |
Harrison M Abrahams | Urology | Urology Partners of North Texas, Pllc | 1901 N Macarthur Blvd, Baylor Medical Center At Irving, Irving, TX 75061-2220 |
Blake A Neeley | Physician Assistant | Urology Partners of North Texas, Pllc | 3301 Matlock Rd, Arlington, TX 76015-2908 |
Jeffrey C Applewhite | Urology | Urology Partners of North Texas, Pllc | 3301 Matlock Rd, Arlington, TX 76015-2908 |
Frank H Moore | Urology | Urology Partners of North Texas, Pllc | 1901 N Macarthur Blvd, Baylor Medical Center At Irving, Irving, TX 75061-2220 |
Kaitlyn K Pizzini | Physician Assistant | Urology Partners of North Texas, Pllc | 3301 Matlock Rd, Arlington, TX 76015-2908 |
Street Address |
2021 N MACARTHUR BLVD SUITE 450 |
City | IRVING |
State | TX |
Zip | 75061-2219 |
Name | Specialty | Organization | Address |
---|---|---|---|
Sarju Waghela | Medical Oncology | Texas Oncology Pa | 2021 N Macarthur Blvd, Suite 400, Irving, TX 75061-2226 |
Naveena Allada | Medical Oncology | Texas Oncology Pa | 2021 N Macarthur Blvd, Suite 400, Irving, TX 75061-2226 |
Venkat Sethuraman | Orthopedic Surgery | 2021 N Macarthur Blvd, Suite 115, Irving, TX 75061-2210 | |
Robert J Weisberg | Hematology/oncology | Texas Oncology Pa | 2021 N Macarthur Blvd, Suite 400, Irving, TX 75061-2226 |
Amanda D White | Physician Assistant | Urology Partners of North Texas, Pllc | 2021 N Macarthur Blvd, Suite 450, Irving, TX 75061-2219 |
Sridevi Juvvadi | Hematology/oncology | Texas Oncology Pa | 2021 N Macarthur Blvd, Suite 400, Irving, TX 75061-2226 |
Steve Perkins | Hematology/oncology | Texas Oncology Pa | 2021 N Macarthur Blvd, Suite 400, Irving, TX 75061-2226 |
Narotham Reddy Thudi | Hematology/oncology | Texas Oncology Pa | 2021 N Macarthur Blvd, Suite 400, Irving, TX 75061-2226 |
Mark J Messing | Gynecological Oncology | Texas Oncology Pa | 2021 N Macarthur Blvd, Suite 400, Irving, TX 75061-2226 |
Renuka V Basavaraju | Rheumatology | 2021 N Macarthur Blvd, Suite 225, Irving, TX 75061-2219 | |
Find all physicians in the same address |
Name | Specialty | Organization | Address |
---|---|---|---|
Yong D Chang | Internal Medicine | 3620 W Pioneer Dr, Suite 107, Irving, TX 75061-1515 | |
Eunyoung Lee | Nurse Practitioner | Livingston Medical Pllc | 3620 W Pioneer Dr, Suite 107, Irving, TX 75061-1515 |
Maria Carmina Perez | Nephrology | Dallas Nephrology Associates | 1625 N Story Rd, Suite 140, Irving, TX 75061-1954 |
Geoffrey S Walker | Nephrology | Dallas Nephrology Associates | 1625 N Story Rd, Suite 140, Irving, TX 75061-1954 |
Asha J Chemmalakuzhy | Nephrology | Dallas Nephrology Associates | 1625 N Story Rd, Suite 140, Irving, TX 75061-1954 |
Alexander S Liang | Nephrology | Dallas Nephrology Associates | 1625 N Story Rd, Suite 140, Irving, TX 75061-1954 |
Anas Al Rifai | Nephrology | Dallas Nephrology Associates | 1625 N Story Rd, Suite 140, Irving, TX 75061-1954 |
Carolyn Kim | Dermatology | Pure Dermatology Center | 2005 W Park Dr, Suite 120, Irving, TX 75061-2032 |
Raymond L Garcia | Dermatology | Pure Dermatology Center | 2005 W Park Dr, Suite 120, Irving, TX 75061-2032 |
Lalitha Subramanyam | Endocrinology | Healthtexas Provider Network | 2005 W Park Dr, 300 Baylor Scott and White Internal Medicine Associates, Irving, TX 75061-2034 |
Find all physicians in zip 75061 |
City | IRVING |
Zip Code | 75061 |
Specialty | UROLOGY |
City + Specialty | IRVING + UROLOGY |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.