ARK LA TEX UROLOGY & PROSTATE CANCER INSTITUTE, A PROFESSIONAL MEDICAL – NPI #1679615207
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.

ARK LA TEX UROLOGY & PROSTATE CANCER INSTITUTE, A PROFESSIONAL MEDICAL is an urologist located in BOSSIER CITY, LA. NPPES has assigned the NPI number 1679615207 to ARK LA TEX UROLOGY & PROSTATE CANCER INSTITUTE, A PROFESSIONAL MEDICAL on February 12, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. 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 18 years ago on Sep 03, 2008. 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 ARK LA TEX UROLOGY & PROSTATE CANCER INSTITUTE, A PROFESSIONAL MEDICAL below.

NPI Profile for
ARK LA TEX UROLOGY & PROSTATE CANCER INSTITUTE, A PROFESSIONAL MEDICAL

NPI Number
1679615207
Enumeration Date

(more than 19 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
ARK LA TEX UROLOGY & PROSTATE CANCER INSTITUTE, A PROFESSIONAL MEDICAL
Primary location
2300 HOSPITAL DR
SUITE 400
BOSSIER CITY, LA 71111-2394
Phone: (318) 841-4004 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
WILLIAM BUNDRICK
OWNER
Phone: (318) 841-4004
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)
LA 020454

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.