MEDICARE: EFRAIN FRANCISCO URIBE PH.D

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YS0200X	School Counselor		TX
2	101YP2500X	Professional Counselor	66016	TX

General Provider Information

NPI Number	:	1407547201
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EFRAIN FRANCISCO URIBE PH.D

Provider Business Mailing Address
First Line	:	2 LEHIGH SPRINGS DR
Second Line	:
City	:	SPRING
State	:	TX
Zip	:	77381-2666
Country	:	US
Telephone Number	:	281-796-6966
Fax Number	:

Provider Business Practice Location Address
First Line	:	2 LEHIGH SPRINGS DR
Second Line	:
City	:	SPRING
State	:	TX
Zip	:	77381-2666
Country	:	US
Telephone Number	:	281-796-6966
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/15/2023
Last Update Date	:	05/15/2023

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