Individual
DR. JOHN WILLIAM UFEMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2505 EAST VILLA MARIA ROAD, #204, BRYAN, TX 77802
(979) 690-6869
Mailing address
PO BOX 7017, BRYAN, TX 77805
(979) 690-6869
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
J7238
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1292575-01
—
TX
01
—
300121373
RR/MEDICARE
TX
01
—
84M152
BLUE SHIELD
TX
Enumeration date
04/03/2006
Last updated
12/20/2013
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