Uduak Edwards FSH Medical Supplies

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

4569730001 Issued in TX

Legal business name

UDUAK EDWARDS FSH MEDICAL SUPPLIES

Practice address

317 Stoneridge Dr
Mesquite, TX 75149-3575

Phone

(972) 329-6593

Fax

(972) 285-9820

NPI assigned

Dec 3, 2007

Last updated

Jun 25, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Uduak D EdwardsNPI 1538287248

Title

Manager

Phone

(972) 329-6593

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Uduak Edwards

  • Durable Medical Equipment & Medical Supplies
  • Mesquite, TX
  • NPI 1538287248
  NPD (past) Authorized official

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

{
    "created_epoch": "1196640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214352000000",
    "number": "1780866624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 STONERIDGE DR",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751493575",
            "telephone_number": "972-329-6593",
            "fax_number": "972-285-9820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 STONERIDGE DR",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751493575",
            "telephone_number": "972-329-6593",
            "fax_number": "972-285-9820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UDUAK EDWARDS FSH MEDICAL SUPPLIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-03",
        "last_updated": "2008-06-25",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "UDUAK",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "972-329-6593"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "4569730001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "154983401",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "154983402",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Destiny Turner
• Jer-Rin Turner
• Jillian Quinn Tutle, M.S., CCC-SLP
• Mei an Tonette O Ty Arias
• Carolyn Ugochinyere Udemba
• Jessica A Uehlinger, PA
• Theophilus O Uka, APRN PMHNP-BC
• Uchechi Catherine Uka, APRN
• Irene Ifeyinwa Uke, FNP-C PMHNP-BC
• Elizabeth A Ukiri, A-GNP-C

• Durable Medical Equipment & Medical Supplies in Mesquite, TX
• Providers in Mesquite, TX by specialty
• Durable Medical Equipment & Medical Supplies in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; 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.