Organization
DELTA SPINE AND PAIN CLINIC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHNSON UKPEDE MD (PHYSICIAN/OWNER)
(281) 741-3243
Entity
Organization
Contact information
Practice address
12000 RICHMOND AVE STE 270, HOUSTON, TX 77082-2431
(281) 741-3243
(281) 741-8763
Mailing address
12000 RICHMOND AVE STE 270, HOUSTON, TX 77082-2431
(281) 741-3243
(281) 741-8763
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
N4814
TX
Other
Enumeration date
12/17/2015
Last updated
12/31/2015
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