Ukoli, Preston M

Ukoli, Preston M is an sole proprietor health care provider with primary practice located at 1211 E Alton Gloor Blvd , Brownsville TX 78526-3831. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Ukoli, Preston M can be contacted via phone (956) 542-1655.

Contact Information

Primary practice address
1211 E Alton Gloor Blvd Brownsville TX 78526-3831
Fax: (956) 542-1881
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X J7705 Texas

Profile Details

NPI number 1962627026
LBN Legal business name Ukoli, Preston M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 16th, 2007
Last updated Aug 10th, 2020 - about 5 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 1962627026 NPPES
Texas MEDICAID 123912104

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