Healthcare Provider Details

I. General information

NPI: 1407547201
Provider Name (Legal Business Name): EFRAIN FRANCISCO URIBE PH.D
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/15/2023
Last Update Date: 05/15/2023
Certification Date: 05/15/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 LEHIGH SPRINGS DR
SPRING TX
77381-2666
US

IV. Provider business mailing address

2 LEHIGH SPRINGS DR
SPRING TX
77381-2666
US

V. Phone/Fax

Practice location:
  • Phone: 281-796-6966
  • Fax:
Mailing address:
  • Phone: 281-796-6966
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License Number
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number66016
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: