MEDICARE: UGOCHI UBANI

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	3747P1801X	Personal Care Attendant

General Provider Information

NPI Number	:	1295436111
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	UGOCHI UBANI

Provider Business Mailing Address
First Line	:	15100 ELLA BLVD APT 1807
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77090-7039
Country	:	US
Telephone Number	:	832-388-8274
Fax Number	:

Provider Business Practice Location Address
First Line	:	15100 ELLA BLVD APT 1807
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77090-7039
Country	:	US
Telephone Number	:	832-388-8274
Fax Number	:

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

Provider Enumeration Date	:	03/16/2023
Last Update Date	:	03/16/2023

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Directions to “ UGOCHI UBANI ” Practice Location

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