Samuel Udofia, RN

Primary specialty

Medical-Surgical Registered NurseTaxonomy code 163WM0705X

License

907467 Issued in TX

Practice address

7111 Sun Village Dr
Houston, TX 77083-7389

Phone

(281) 965-4616

NPI assigned

Sep 6, 2023

Last updated

Sep 6, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1693958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693958400000",
    "number": "1265218184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7111 SUN VILLAGE DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770837389",
            "telephone_number": "281-965-4616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7111 SUN VILLAGE DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770837389",
            "telephone_number": "281-965-4616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UDOFIA",
        "first_name": "SAMUEL",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-09-06",
        "last_updated": "2023-09-06",
        "certification_date": "2023-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "TX",
            "license": "907467",
            "primary": false
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "TX",
            "license": "907467",
            "primary": false
        },
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "TX",
            "license": "907467",
            "primary": true
        },
        {
            "code": "163WC3500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Cardiac Rehabilitation",
            "state": "TX",
            "license": "907467",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Veronica Udobong
• Joshua Desmond Udoetuk, MD
• Sade Udoetuk, MD
• Usenemana Nsini Udoeyop
• Friday Udofia
• Akanimo Emmanuel Udoh, PTA
• Ekaette Udoh
• Jennifer Udoh, PHARM D
• Felix Udoka
• Mary Joy Udoka, LCSW

• Medical-Surgical Registered Nurse in Houston, TX
• Providers in Houston, TX by specialty
• Medical-Surgical Registered Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.