Udo, Enobong C.
Udo, Enobong C. is an individual health care provider with primary practice located at 5072 W Plano Pkwy Ste 220 , Plano TX 75093-4475. She recently has 4 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Udo, Enobong C. can be contacted via phone (469) 671-0900.Contact Information
Primary practice address
5072 W Plano Pkwy Ste 220
Plano TX 75093-4475
Phone: (469) 671-0900
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | AP137519 | Texas |
| Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | AP137519 | Texas |
| Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | AP137519 | Texas |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | AP137519 | Texas |
Profile Details
| NPI number | 1124518253 |
|---|---|
| LBN Legal business name | Udo, Enobong C. |
| Credentials | A-GNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 15th, 2018 |
| Last updated | May 15th, 2018 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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