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NPI Code Detail

MEDICARE: UMEDLY

MEDICARE: UMEDLY
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
1207Q00000XFamily Medicine Physician

General Provider Information

NPI Number : 1871100032
Entity Type Code : Organization
Provider Name (Legal Business Name) : UMEDLY
Provider Business Mailing Address
First Line : 5415 LAWNDALE ST STE 9104
Second Line :
City : HOUSTON
State : TX
Zip : 77023-9998
Country : US
Telephone Number : 832-297-1174
Fax Number :
Provider Business Practice Location Address
First Line : 708 MAIN ST FL 10
Second Line :
City : HOUSTON
State : TX
Zip : 77002-3246
Country : US
Telephone Number : 713-487-7014
Fax Number :
Authorized Official
Title or Position : DIRECTOR
Name : GODSWILL NWANKWO
Credential :
Telephone Number : 832-297-1174
Provider Enumeration Date : 09/30/2020
Last Update Date : 09/30/2020

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Directions to “UMEDLY ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.