Active NPI
Augustine Ukor, N.P.
- Primary Care Clinic/Center
- Richmond, TX
National Provider Identifier
1144417106
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- 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, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720623192 | Other | NPI 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christline Healthcare Inc. | Primary Care | Current | 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.
-
- Primary Care Clinic/Center
- Richmond, TX
- NPI 1720623192
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.