Organization
STANISLAUS NWAFOR UZOIGWE MD PA
Active
Other names
Pediatric Practice Association
Organization subpart
No
Provider details
NPI number
Authorized official
ANA FALCON (ADMINISTRATOR)
(956) 488-1200
Entity
Organization
Contact information
Practice address
1505 N GRANT ST STE 1, ROMA, TX 78584-5429
(956) 849-4700
(956) 849-4704
Mailing address
201 E 2ND ST, RIO GRANDE CITY, TX 78582-3803
(956) 488-1200
(956) 488-9500
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
L4155
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
163872804
—
TX
Enumeration date
08/09/2007
Last updated
12/06/2023
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