Individual
UGHANMWAN EFEOVBOKHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
8101 ROUGHRIDER DR, WINDCREST, TX 78239-2428
(210) 657-3700
(210) 657-3708
Mailing address
8101 ROUGHRIDER DR, WINDCREST, TX 78239-2428
(210) 657-3700
(210) 657-3700
Taxonomy
Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
683669
TX
363LG0600X
Gerontology Nurse Practitioner
683669
TX
363LG0600X
Gerontology Nurse Practitioner
Primary
AP113326
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
167293301
—
TX
Enumeration date
08/24/2006
Last updated
01/30/2025
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