Inemesit Ephram Udor MD. P.a.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

K6377 Issued in TX

Legal business name

INEMESIT EPHRAM UDOR MD. P.A.

Practice address

2517 W. Trenton Rd.
BLDG a Ste 4
Edinburg, TX 78539-5070

Phone

(956) 631-7312

Fax

(956) 631-7307

NPI assigned

Mar 30, 2007

Organization subpart

No

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

Authorized official

Name

Inemesit E Udor, MD. P.A.

Title

Owner

Phone

(956) 631-7312

Specialties & licenses 1

Addresses

Other identifiers 7

Other names 1

• The Valley Neighborhood Pediatric Network Doing business as

Tax ID family

Inemesit Ephram Udor MD PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Valley Neighborhood Pediatrics

  • Primary Care Clinic/Center
  • McAllen, TX
  • NPI 1164899654
  NPD tax ID

Locations

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227484800000",
    "number": "1851411052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2517 W TRENTON RD.",
            "address_2": "BIDG A STE 4",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785395070",
            "telephone_number": "956-631-7312",
            "fax_number": "956-631-7307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2517 W. TRENTON RD.",
            "address_2": "BLDG A STE 4",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785395070",
            "telephone_number": "956-631-7312",
            "fax_number": "956-631-7307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INEMESIT EPHRAM UDOR MD. P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-30",
        "last_updated": "2008-11-24",
        "status": "A",
        "authorized_official_last_name": "UDOR",
        "authorized_official_first_name": "INEMESIT",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "956-631-7312",
        "authorized_official_credential": "MD. P.A."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "K6377",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUPERIOR HEALTH PLAN",
            "identifier": "120285",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC&BS OF TEXAS",
            "identifier": "0092HG",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "145956202",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "116400604",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "145956201",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EPSOT",
            "identifier": "145956202",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS LIC",
            "identifier": "K6377",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Valley Neighborhood Pediatric Network",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Pediatrics Physician in Edinburg, TX
• Providers in Edinburg, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 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.