MEDICARE: STELLA U EKONG MD

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	207Q00000X	Family Medicine Physician	101774	MN
2	207Q00000X	Family Medicine Physician	47645	MN
3	207Q00000X	Family Medicine Physician	R7720	TX

General Provider Information

NPI Number	:	1992764419
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STELLA U EKONG MD

Provider Business Mailing Address
First Line	:	21922 BELLAIRE BLVD STE 600
Second Line	:
City	:	RICHMOND
State	:	TX
Zip	:	77407-3919
Country	:	US
Telephone Number	:	832-402-6326
Fax Number	:

Provider Business Practice Location Address
First Line	:	21922 BELLAIRE BLVD STE 600
Second Line	:
City	:	RICHMOND
State	:	TX
Zip	:	77407-3919
Country	:	US
Telephone Number	:	832-402-6326
Fax Number	:	713-424-2899

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

Provider Enumeration Date	:	03/22/2006
Last Update Date	:	04/11/2024

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Directions to “ STELLA U EKONG MD” Practice Location

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