Individual provider Active NPI

Ihuoma Uko Udeh

  • Psychiatric/Mental Health Nurse Practitioner
  • Katy, TX
National Provider Identifier
1497537930
Registry record updated Apr 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1138388 Issued in TX
Practice address
26943 Churchill Gate LN
Katy, TX 77494-5237
Phone
(832) 921-5087
NPI assigned
Oct 18, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 21, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1138388 TX Primary

Addresses

Primary practice location

26943 Churchill Gate LN
Katy, TX 77494-5237

Mailing address

26943 Churchill Gate LN
Katy, TX 77494-5237
Phone (832) 921-5087

Other identifiers 1

IdentifierTypeStateIssuer
7J9040OtherTXMEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240614003662 TX Practitioner - Nurse Practitioner 8426591777 Reassigns benefits to 3 organizations
I20250318002773 TX Practitioner - General Practice 8426591777

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
NV Pacs 2 LLCGroup PAC ID 0941550578, 119 clinicians
Ipc Pac Healthcare Services of Texas PLLCGroup PAC ID 1759676307, 42 clinicians
CS Pacs 3 Southwest, LLCGroup PAC ID 1254879620, 23 clinicians

Practice addresses (Care Compare)

2817 Kent St
Bryan, TX 77802-5214
Phone (979) 776-7521

310 E Lawrence St
Dayton, TX 77535-1805
Phone (936) 258-7227

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
CS Pacs 3 Southwest, LLC CurrentSince Sep 9, 2024 Accepting new patients
Mercyangel Behavioral Health Services LLC CurrentSince Mar 13, 2025 Accepting new patients
NV Pacs 2 LLC CurrentSince Jun 10, 2024 Accepting new patients
Ipc Pac Healthcare Services of Texas PLLC CurrentSince Jun 10, 2024 Accepting new patients

Locations

1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325

999 Raintree Cir
Allen, TX 75013
Phone (972) 390-8088

2817 Kent St
Bryan, TX 77802
Phone (979) 776-7521

310 E Lawrence St
Dayton, TX 77535
Phone (936) 258-7227

5400 Clearfork Main St
Fort Worth, TX 76109
Phone (817) 433-7000

201 Sycamore School Rd
#R
Fort Worth, TX 76134
Phone (817) 293-7610

6301 Oakmont Blvd
Ft Worth, TX 76132
Phone (682) 250-4055

415 Indian Oaks Dr
Harker Hts, TX 76548
Phone (254) 699-5051

721 W Mulberry St
Holiday Lakes, TX 77515
Phone (979) 848-0279

13500 Breton Ridge St
Houston, TX 77070
Phone (281) 807-4744

2101 W Northgate Dr
Irving, TX 75062
Phone (972) 255-4460

208 S Utah St
La Porte, TX 77571
Phone (281) 471-1810

811 Garner Rd
Pasadena, TX 77502
Phone (713) 473-0687

6211 S New Braunfels Ave
#T
San Antonio, TX 78223
Phone (210) 531-0569

424 Tarpey Rd
#C
Texas City, TX 77591
Phone (409) 938-8431

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1697587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776729600000",
    "number": "1497537930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26943 CHURCHILL GATE LN",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774945237",
            "telephone_number": "832-921-5087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26943 CHURCHILL GATE LN",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774945237",
            "telephone_number": "832-921-5087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UDEH",
        "first_name": "IHUOMA",
        "middle_name": "UKO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-18",
        "last_updated": "2026-04-21",
        "certification_date": "2026-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1138388",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "7J9040",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

Verify at the official NPI Registry.