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Individual

AUGUSTINE UKOR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
N.P.

Contact information

Practice address
9711 S MASON RD # 125-267, RICHMOND, TX 77407-7167
(713) 909-6764
(248) 458-4571
Mailing address
9711 S MASON RD # 125-267, RICHMOND, TX 77407-7167
(713) 909-6764
(248) 458-4571

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
363LA2200X
Adult Health Nurse Practitioner
AP132012
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1720623192
NPI FOR CHRISTLINE HEALTHCARE INC
Enumeration date
10/03/2007
Last updated
11/23/2024
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