MEDICARE: FRANK UBA ADINDU RN

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	163W00000X	Registered Nurse	87972	TX

General Provider Information

NPI Number	:	1598265506
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FRANK UBA ADINDU RN

Provider Business Mailing Address
First Line	:	4513 OAK MANOR DR APT 64
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76116-9177
Country	:	US
Telephone Number	:	469-345-1682
Fax Number	:

Provider Business Practice Location Address
First Line	:	4513 OAK MANOR DR APT 64
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76116-9177
Country	:	US
Telephone Number	:	469-345-1682
Fax Number	:

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

Provider Enumeration Date	:	02/15/2018
Last Update Date	:	02/15/2018

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