Individual
ENOBONG C. UDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A-GNP
Contact information
Practice address
2231 BUTLER ST, DALLAS, TX 75235-7826
(214) 590-0409
(214) 590-0413
Mailing address
2231 BUTLER ST, DALLAS, TX 75235-7826
(214) 590-0409
(214) 590-0413
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP137519
TX
363LA2200X
Adult Health Nurse Practitioner
AP137519
TX
363LG0600X
Gerontology Nurse Practitioner
AP137519
TX
363LP2300X
Primary Care Nurse Practitioner
AP137519
TX
Other
Enumeration date
05/15/2018
Last updated
08/23/2024
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