Individual provider Active NPI

Augustine Ukor, N.P.

  • Primary Care Clinic/Center
  • Richmond, TX
National Provider Identifier
1144417106
Registry record updated Nov 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Practice address
9711 S Mason Rd # 125-267
Richmond, TX 77407-7167
Phone
(713) 909-6764
Fax
(248) 458-4571
NPI assigned
Oct 3, 2007
Last updated
Nov 23, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 23, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary
Adult Health Nurse Practitioner 363LA2200X AP132012 TX

Addresses

Primary practice location

9711 S Mason Rd # 125-267
Richmond, TX 77407-7167

Mailing address

9711 S Mason Rd # 125-267
Richmond, TX 77407-7167
Phone (713) 909-6764

Other identifiers 1

IdentifierTypeStateIssuer
1720623192OtherNPI FOR CHRISTLINE HEALTHCARE INC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170615000215 TX Practitioner - Nurse Practitioner 8426326489 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Christline Healthcare Inc. Primary Care CurrentSince Nov 7, 2019 Accepting new patients

Locations

9711 S Mason Rd
Richmond, TX 77407
Phone (346) 933-2463

9711 S Mason Rd
Ste 125267
Richmond, TX 77407
Phone (713) 909-6764

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1191369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732320000000",
    "number": "1144417106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9711 S MASON RD # 125-267",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774077167",
            "telephone_number": "713-909-6764",
            "fax_number": "248-458-4571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9711 S MASON RD # 125-267",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774077167",
            "telephone_number": "713-909-6764",
            "fax_number": "248-458-4571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UKOR",
        "first_name": "AUGUSTINE",
        "credential": "N.P.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-03",
        "last_updated": "2024-11-23",
        "certification_date": "2024-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TX",
            "license": "AP132012",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI FOR CHRISTLINE HEALTHCARE INC",
            "identifier": "1720623192",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, TX

Sources for this page

Verify at the official NPI Registry.