| Maurice N. Ugwuibe, M.d. P.a. | |
|
1531 S Alameda St Corpus Christi TX 78404-3109 | |
| (361) 888-4745 | |
| (361) 888-4795 |
| Full Name | Maurice N. Ugwuibe, M.d. P.a. |
|---|---|
| Speciality | Internal Medicine |
| Location | 1531 S Alameda St, Corpus Christi, Texas |
| Authorized Official Name and Position | Maurice N Ugwuibe (OWNER) |
| Authorized Official Contact | 3618884745 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Maurice N. Ugwuibe, M.d. P.a. 1531 S Alameda St Corpus Christi TX 78404-3109 Ph: (361) 888-4745 | Maurice N. Ugwuibe, M.d. P.a. 1531 S Alameda St Corpus Christi TX 78404-3109 Ph: (361) 888-4745 |
| NPI Number | 1386883734 |
|---|---|
| Provider Enumeration Date | 02/09/2009 |
| Last Update Date | 02/21/2020 |
| Medicare PECOS PAC ID | 8820274061 |
|---|---|
| Medicare Enrollment ID | O20110523000856 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386883734 | NPI | - | NPPES |
| 287856301 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Maurice N Ugwuibe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427016393 PECOS PAC ID: 1052351590 Enrollment ID: I20050504000828 |
| Provider Name | Gwendoline O Ugwuibe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184120586 PECOS PAC ID: 5890760300 Enrollment ID: I20180601000170 |
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