Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Urologic Ambulatory Surgery Center, LLC

Organization Urology Physician · NPI 1154867562

Urologic Ambulatory Surgery Center, LLC is an Urology Physician in Tupelo, Mississippi. Registered with an NPI since 2017.

In the registry since
2017
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

499 Gloster Creek Vlg Ste B8
Tupelo, MS 38801-4633
Phone: (662) 432-0700
Fax: (662) 846-0566
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ambulatory Surgical Clinic/Center (primary) Taxonomy 261QA1903X
Urology Physician Taxonomy 208800000X

Record details

NPI number1154867562
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Deonne Henry — Director Of Operations · (662) 432-0700
NPI enumeratedJanuary 9, 2017
Last updated in NPPESOctober 24, 2023
Certification dateOctober 24, 2023
Mailing addressPo Box 829, Tupelo, MS 38802-0829

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