SECUNDA UDOYE


Address: 4616 Via Ventura, Mesquite, TX 75150-8229
Phone: 2149092360

SECUNDA UDOYE (NPI# 1023571718) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1023571718
Entity Type Individual
Full Name SECUNDA UDOYE
Credential NP
Practice Address 4616 Via Ventura
Mesquite
TX 75150-8229
Practice Telephone 2149092360
Mailing Telephone 2149092360
Enumeration Date 2019-04-09
Last Update Date 2019-04-09
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
AP140841 TX Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 4616 VIA VENTURA
City MESQUITE
State TX
Zip Code 75150-8229

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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

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1124689781 Olivia Obazughanmwen Nurse Practitioner 2021 Crawford Dr, Mesquite, TX 75149-7627 2019-06-25
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1003380437 Doris K Egyawan Nurse Practitioner 624 Yosemite Trl, Mesquite, TX 75149-2583 2019-01-18
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Competitor

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City MESQUITE
Zip Code 75150

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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