Organization
UDUMA BEHAVIORAL HEALTH SERVICES PLCC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RITA UDUMA NP (CEO)
(903) 521-4984
Entity
Organization
Contact information
Practice address
2212 DOVER LN, TYLER, TX 75703-5822
(903) 521-4984
Mailing address
2212 DOVER LN, TYLER, TX 75703-5822
(903) 521-4984
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/29/2024
Last updated
07/29/2024
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