UDUMA BEHAVIORAL HEALTH SERVICES PLCC NPI 1659100667

NPI Information

  • NPI: 1659100667
  • Provider Name: UDUMA BEHAVIORAL HEALTH SERVICES PLCC
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Organization
  • Address: 2212 DOVER LN
    TYLER, TX
    ZIP 75703
  • Phone: (903) 521-4984

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NPI Details

UDUMA BEHAVIORAL HEALTH SERVICES PLCC is a psychiatric/mental health nurse practitioner in Tyler, TX. UDUMA BEHAVIORAL HEALTH SERVICES PLCC NPI is 1659100667. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2212 DOVER LN
TYLER, TX
ZIP 75703-822
Phone: (903) 521-4984

The provider's authorized official is Rita Uduma .
The authorized official title is Ceo and has the following contact phone number (903) 521-4984.

The enumeration date for this NPI number is 7/29/2024 and was last updated on 7/29/2024.

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
1363LP0808XNurse PractitionerPsychiatric/Mental HealthYes

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: 3/30/2025

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