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Individual
JESSE UDUMA
Active
Individual
JESSE UDUMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
34868479
TX
207R00000X
Internal Medicine Physician
W1011
TX
208M00000X
Hospitalist Physician
Primary
W1011
TX
390200000X
Student in an Organized Health Care Education/Training Program
Primary
34868479
TX
Other
Enumeration date
04/21/2023
Last updated
08/06/2026
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