Individual
THEOPHILUS O UKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN PMHNP-BC
Contact information
Practice address
1675 REPUBLIC PKWY STE 100, MESQUITE, TX 75150-6902
(972) 203-2121
Mailing address
1675 REPUBLIC PKWY STE 100, MESQUITE, TX 75150-6902
(972) 203-2121
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1148735
TX
Other
Enumeration date
01/23/2024
Last updated
08/15/2024
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