Active NPI
Abasiubong Udoka, APRN
- Psychiatry Physician
- Frisco, TX
National Provider Identifier
1962216903
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 1049023
- Practice address
- 9555 Lebanon Rd Ste 401
Frisco, TX 75035-6082 - Phone
- (469) 396-2094
- NPI assigned
- Feb 1, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 1049023 | TX | Primary |
Addresses
Primary practice location
9555 Lebanon Rd Ste 401
Frisco, TX 75035-6082
Mailing address
9555 Lebanon Rd Ste 401
Frisco, TX 75035-6082
Phone (469) 396-2094
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1049023 | TX | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1738368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738368000000",
"number": "1962216903",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9555 LEBANON RD STE 401",
"city": "FRISCO",
"state": "TX",
"postal_code": "750356082",
"telephone_number": "469-396-2094"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9555 LEBANON RD STE 401",
"city": "FRISCO",
"state": "TX",
"postal_code": "750356082",
"telephone_number": "469-396-2094"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UDOKA",
"first_name": "ABASIUBONG",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-02-01",
"last_updated": "2025-02-01",
"certification_date": "2025-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "TX",
"license": "1049023",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Frisco, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.