SOUTH LAND UROLOGY – NPI #1154805828
Urology

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

SOUTH LAND UROLOGY is an urologist located in KYLE, TX. NPPES has assigned the NPI number 1154805828 to SOUTH LAND UROLOGY on September 19, 2018. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “SOUTH LAND UROLOGY” is a dba name, the actual legal business name for this organization is SOUTH CENTRAL WELLNESS LLC. The primary taxonomy selected by this provider is 208800000X from the Health Care Provider Taxonomy code set, which is classified as Urology.

The NPI profile was previously updated about 7 years ago on Feb 06, 2019. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SOUTH LAND UROLOGY below.

NPI Profile for
SOUTH CENTRAL WELLNESS LLC

NPI Number
1154805828
Enumeration Date

(more than 7 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SOUTH CENTRAL WELLNESS LLC
Doing Business As (dba): SOUTH LAND UROLOGY
Primary location
1180 SETON PKWY STE 320
KYLE, TX 78640
Phone: (512) 651-0702 Fax: (512) 651-0702
Mailing address
5859 FERGUS
KYLE, TX 78640-8627
Phone: (512) 651-0702 Fax: (512) 651-0702
Organization Subpart
No
Authorized Official
ROBYN ROBERTS
MD/ OWNER
Phone: (512) 651-0702
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208800000X
- Urology (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.