Individual
MS. UKEME EDET UMOREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C, CAA, MMSC
Contact information
Practice address
6410 FANNIN ST, SUITE 480, HOUSTON, TX 77030-3000
(713) 574-9462
Mailing address
2750 TRINITY GLEN LN, HOUSTON, TX 77047-2500
(678) 754-9595
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
002737
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
390614943A
—
GA
Enumeration date
02/09/2006
Last updated
03/24/2016
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