Individual
RAPHAEL UDALOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3631 CAMPFIELD CT, KATY, TX 77449-8621
(832) 245-8120
Mailing address
3631 CAMPFIELD CT, KATY, TX 77449-8621
(832) 245-8120
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
1003331
TX
Other
Enumeration date
08/17/2020
Last updated
08/20/2020
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