Healthcare Provider Details

I. General information

NPI: 1679589287
Provider Name (Legal Business Name): EMEM D UKPONG PCA CAREGIVER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/01/2006
Last Update Date: 07/31/2025
Certification Date: 07/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8307 SOLARA BND
HOUSTON TX
77083-5092
US

IV. Provider business mailing address

8307 SOLARA BND
HOUSTON TX
77083-5092
US

V. Phone/Fax

Practice location:
  • Phone: 281-667-3636
  • Fax: 281-624-4902
Mailing address:
  • Phone: 281-667-3636
  • Fax: 281-624-4902

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: