Judith I Udabor


Address: 2801 Osler Dr, Suite 120, Grand Prairie, TX 75051-1059

Judith I Udabor (NPI# 1598098196, PAC ID# 7315085537) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.

Physician Overview

Nation Provider ID (NPI) 1598098196
PAC ID by PECOS 7315085537
Professional Enrollment ID I20091109000593
Full Name Judith I Udabor
Address 2801 Osler Dr
Suite 120
Grand Prairie
TX 75051-1059
Gender F
Graduation Year 2009
Primary Specialty NURSE PRACTITIONER
Accepts Medicare Assignment Y

Other Locations

Address Phone Organization
2801 Osler Dr, Suite 120, Grand Prairie, TX 75051-1059

Organization Information

Office Location

Street Address 2801 OSLER DR
SUITE 120
City GRAND PRAIRIE
State TX
Zip 75051-1059

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Competitor

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City GRAND PRAIRIE
Zip Code 75051
Specialty NURSE PRACTITIONER
City + Specialty GRAND PRAIRIE + NURSE PRACTITIONER

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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