Individual
AGNES IKPOTO UDOH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
UTMB- PATHOLOGY DEPARTMENT 301 UNIVERSITY BLVD, GALVESTON, TX 77555-2604
(409) 772-2870
(409) 747-2400
Mailing address
UTMB- PATHOLOGY DEPARTMENT 301 UNIVERSITY BLVD, GALVESTON, TX 77555-0428
(409) 772-2870
(409) 747-2400
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
BP10080783
TX
Other
Enumeration date
05/03/2018
Last updated
05/19/2022
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