| Trumed Family Clinic | |
|
2801 Osler Dr Ste 120 Grand Prairie TX 75051-1059 | |
| (214) 677-0208 | |
| (214) 677-0230 |
| Full Name | Trumed Family Clinic |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 2801 Osler Dr Ste 120, Grand Prairie, Texas |
| Authorized Official Name and Position | Judith Udabor (OWNER/PRACTITIONER) |
| Authorized Official Contact | 9727405830 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Trumed Family Clinic Po Box 294822 Lewisville TX 75029-4822 Ph: (214) 677-0208 | Trumed Family Clinic 2801 Osler Dr Ste 120 Grand Prairie TX 75051-1059 Ph: (214) 677-0208 |
| NPI Number | 1235445123 |
|---|---|
| Provider Enumeration Date | 08/30/2010 |
| Last Update Date | 02/01/2023 |
| Medicare PECOS PAC ID | 0648450619 |
|---|---|
| Medicare Enrollment ID | O20110208000567 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235445123 | NPI | - | NPPES |
| Provider Name | Judith I Udabor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598098196 PECOS PAC ID: 7315085537 Enrollment ID: I20091109000593 |
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