# DELTA SPINE AND PAIN CLINIC PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740645787
- **Authorized official:** DR. JOHNSON UKPEDE MD (PHYSICIAN/OWNER)
- **Authorized official phone:** (281) 741-3243

## Contact information

- **Practice address:** 12000 RICHMOND AVE STE 270, HOUSTON, TX 77082-2431
- **Practice address phone:** (281) 741-3243
- **Practice address fax:** (281) 741-8763
- **Mailing address:** 12000 RICHMOND AVE STE 270, HOUSTON, TX 77082-2431
- **Mailing address phone:** (281) 741-3243
- **Mailing address fax:** (281) 741-8763

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | N4814 | TX | Yes |

## Other

- **Enumeration date:** 12/17/2015
- **Last updated:** 12/31/2015