Most Relevant Information
Provider Data
| NPI Number: | 1003033903 |
| Provider Name: | KEONA UGWUH |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/20/2007 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
3330 S LANCASTER RD
DALLAS
TX
752164531
Practice Location Phone/Fax
| Phone: | 2143710474 |
| Fax: |
Provider Mailing Location
3330 S LANCASTER RD
DALLAS
TX
752164531
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |