Individual
BASIL IBHAGBEMIEN UKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN-CNP
Contact information
Practice address
6200 OVERTON RIDGE BLVD, FORT WORTH, TX 76132-3614
(817) 386-1537
Mailing address
1406 EVERGLADES CT, ARLINGTON, TX 76002-5112
(682) 465-1740
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1185947
TX
Other
Enumeration date
02/22/2022
Last updated
05/04/2025
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