Efeovbokhan, Ughanmwan

Efeovbokhan, Ughanmwan is an individual health care provider with primary practice located at 8101 Roughrider Dr , Windcrest TX 78239-2428. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as his primary health care specialty. Efeovbokhan, Ughanmwan can be contacted via phone (210) 657-3700.

Contact Information

Primary practice address
8101 Roughrider Dr Windcrest TX 78239-2428
Phone: (210) 657-3700
Fax: (210) 657-3708
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 683669 Texas
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X AP113326 Texas

Profile Details

NPI number 1649387630
LBN Legal business name Efeovbokhan, Ughanmwan
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2006
Last updated Apr 24th, 2022 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1649387630 NPPES
Texas MEDICAID 167293301

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