Organization
JESUS D UCOL MD PA
Active
Other names
Jesus D Ucol MD
Organization subpart
No
Provider details
NPI number
Authorized official
JESUS D UCOL MD (JESUS UCOL MD PA)
(940) 261-3437
Entity
Organization
Contact information
Practice address
1718 10TH ST, SUITE A, WICHITA FALLS, TX 76301
(940) 761-5437
(940) 761-5400
Mailing address
PO BOX 4167, WICHITA FALLS, TX 76308
(940) 761-5437
(940) 761-5400
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
J9407
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1211940801
—
TX
05
—
1211940803
—
TX
Enumeration date
09/28/2006
Last updated
08/22/2020
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