Organization Active NPI

Uiu Advanced Clinical Services PLLC

  • Hospice and Palliative Medicine (Psychiatry & Neurology) Physician
  • Stafford, TX
National Provider Identifier
1407374036
Registry record updated Mar 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084H0002X
Legal business name
UIU ADVANCED CLINICAL SERVICES PLLC
Practice address
4434 Bluebonnet Dr Ste 146
Stafford, TX 77477-2904
Phone
(281) 979-4812
NPI assigned
Sep 4, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2024

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

Authorized official

Name
Mr. Ike Uzodinma Uzowulu, NP
Title
Owner
Phone
(281) 979-4812

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Psychiatry & Neurology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084A0401X
Hospice and Palliative Medicine (Psychiatry & Neurology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084H0002X Primary

Addresses

Primary practice location

4434 Bluebonnet Dr Ste 146
Stafford, TX 77477-2904

Mailing address

4434 Bluebonnet Dr Ste 146
Stafford, TX 77477-2904

National Provider Directory

National Provider Directory

Locations

4434 Bluebonnet Dr
Ste 146
Stafford, TX 77477
Phone (281) 979-4812

NPI Registry JSON

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

{
    "created_epoch": "1504483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710892800000",
    "number": "1407374036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4434 BLUEBONNET DR STE 146",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774772904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4434 BLUEBONNET DR STE 146",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774772904",
            "telephone_number": "281-979-4812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UIU ADVANCED CLINICAL SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-04",
        "last_updated": "2024-03-20",
        "certification_date": "2024-03-20",
        "status": "A",
        "authorized_official_last_name": "UZOWULU",
        "authorized_official_first_name": "IKE",
        "authorized_official_middle_name": "UZODINMA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-979-4812",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "2084A0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084H0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Hospice and Palliative Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stafford, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2024; 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.