Ughanmwan Efeovbokhan
Nurse Practitioner (Gerontology)

Address: 5309 Wurzbach Rd Ste 200-9, San Antonio, TX 78238-2444
Phone: 2106474671

Ughanmwan Efeovbokhan (NPI# 1649387630) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1649387630
Entity Type Individual
Full Name Ughanmwan Efeovbokhan
Credential NP
Gender Male
Practice Address 5309 Wurzbach Rd Ste 200-9
San Antonio
TX 78238-2444
Practice Telephone 2106474671
Practice Fax Number 2106477552
Mailing Address 5309 Wurzbach Rd Ste 200-9
San Antonio
TX 78238-2444
Mailing Telephone 2106474671
Mailing Fax Number 2106477552
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2006-08-24
Last Update Date 2018-10-23

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 363LG0600X Nurse Practitioner · Gerontology Physician Assistants & Advanced Practice Nursing Providers AP113326 TX
No 363LG0600X Nurse Practitioner · Gerontology Physician Assistants & Advanced Practice Nursing Providers 683669 TX

Other Provider Identifier

State Identifier Issuer Type Code
TX 167293301 MEDICAID

Secondary Practice Locations

Address Telephone Number Fax Number
11403 Oconnor Rd Ste 108, San Antonio, TX 782335391 2106573700 2106573708
426 Castroville Rd Ste 3, San Antonio, TX 782075169 8776647201 8002187489

Physician Overview

NPI 1649387630
PAC ID by PECOS 7113992611
Professional Enrollment ID I20040828000071
Full Name Ughanmwan T Efeovbokhan
Organization Legal Name ATLANTIC MEDICAL, PLLC
Phone Number 2106573700
Gender M
Credential NP
Graduation Year 2004
Primary Specialty NURSE PRACTITIONER
Group Practice PAC ID 2961566658
Number of Group Practice Members 2
Accepts Medicare Assignment Y

Taxonomy Information

Taxonomy Code 363LG0600X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Gerontology

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1376996819 April Sohee Toscano Nurse Practitioner 1200 Brooklyn Ave Ste 350, San Antonio, TX 78212-4817 2016-07-20
1245500230 Jenny Davis Nurse Practitioner 419 Country Ln, San Antonio, TX 78209-2320 2012-01-06
1700199429 Christina Elsa Ramsey Nurse Practitioner 4539 Barnard Ml, San Antonio, TX 78247-5947 2010-07-22
1689665887 Gail Lynn Beaver Nurse Practitioner 7541 Us Highway 87, E, Suite #1, San Antonio, TX 78263-2407 2005-11-04
1689676090 Sarah Louise Booth Nurse Practitioner 516 Lexington Ave, San Antonio, TX 78215-1930 2005-08-15
1245826486 Carolyn Payne Nurse Practitioner 4458 Medical Dr Ste 205, San Antonio, TX 78229-3748 2020-12-11
1427607696 Rukevwe Theodora Agho Nurse Practitioner 2833 Babcock Rd, San Antonio, TX 78229-5390 2019-09-10
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Office Location

Street Address 5309 WURZBACH RD STE 200-9
City SAN ANTONIO
State TX
Zip Code 78238-2444

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1598383259 Dialysis Clinic Inc. Clinic/Center 6146 Wurzbach Road, San Antonio, TX 78238 2020-07-09
1043857360 Danielle Renee De Luna Counselor 5505 Lost Lane, San Antonio, TX 78238 2019-12-05
1013444777 Avery Rodriguez Physical Therapy Assistant 5270 Bandera Rd Ste 14, San Antonio, TX 78238 2017-05-12
1760898894 Silas Pimentel Physical Therapist 5720 Bandera Rd Ste 14, San Antonio, TX 78238 2014-07-09
1942550553 Stanley Toh Forze Registered Nurse 6933 Border Brk Apt 1910, San Antonio, TX 78238 2012-09-12
1891004032 Texan Smile Dentistry 3 PC Dentist 5983 Bandera Rd., San Antonio, TX 78238 2010-10-06
1275847683 Deborah Michelle Solorzano Dentist 5715 Evers Road, San Antonio, TX 78238 2010-07-28
1932436326 Campos Family Dental, P.C. Dentist 6140 Wurzbach Road, San Antonio, TX 78238 2009-11-06
1063665495 Benjamino L Granato Durable Medical Equipment & Medical Supplies 6415 Bandera, San Antonio, TX 78238 2008-10-29
1891962262 Gerald L Froemming Dentist 6436 Bandera Road, #1, San Antonio, TX 78238 2008-05-14
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Competitor

Search similar providers

City SAN ANTONIO
Zip Code 78238

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.