Individual
CHIOMA UDEMGBA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5282 MEDICAL DR STE 240, SAN ANTONIO, TX 78229-4849
(210) 644-2100
Mailing address
1430 TULANE AVE # SL-50, NEW ORLEANS, LA 70112-2632
(504) 988-1332
(504) 988-3971
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
20674
ND
207K00000X
Allergy & Immunology Physician
Primary
U8015
TX
207R00000X
Internal Medicine Physician
MD048479
DC
207R00000X
Internal Medicine Physician
U8015
TX
208000000X
Pediatrics Physician
MD048479
DC
208000000X
Pediatrics Physician
U8015
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/04/2016
Last updated
04/23/2024
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