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JESUS D UCOL MD PA NPI 1003908351


NPI Information

NPI: 1003908351
Provider Name: JESUS D UCOL MD PA

Other Name: JESUS D UCOL MD

Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
1718 10TH ST
SUITE A
WICHITA FALLS, TX
ZIP 76301
Phone: (940) 761-5437
Get Directions

JESUS D UCOL MD PA is a pediatrics in Wichita Falls, TX. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. JESUS D UCOL MD PA NPI is 1003908351. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Jesus D Ucol Md.

The provider's business location address is:

1718 10TH ST
SUITE A
WICHITA FALLS, TX
ZIP 76301
Phone: (940) 761-5437
Fax: (940) 761-5400

The provider's authorized official is Jesus D Ucol .
The authorized official title is Jesus Ucol Md Pa and has the following contact phone number (940) 261-3437.

The enumeration date for this NPI number is 9/28/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208000000XPediatricsJ9407TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11211940801MEDICAIDTEXAS
21211940803MEDICAIDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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