Provider Demographics
NPI:1629380415
Name:UGWU, VALENTINE CHUKWUMA (MD)
Entity Type:Individual
Prefix:DR
First Name:VALENTINE
Middle Name:CHUKWUMA
Last Name:UGWU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:612 S VINTON ST STE 101
Mailing Address - Street 2:
Mailing Address - City:PEARSALL
Mailing Address - State:TX
Mailing Address - Zip Code:78061-2245
Mailing Address - Country:US
Mailing Address - Phone:830-505-7509
Mailing Address - Fax:830-335-7513
Practice Address - Street 1:612 S VINTON ST STE 101
Practice Address - Street 2:
Practice Address - City:PEARSALL
Practice Address - State:TX
Practice Address - Zip Code:78061-2245
Practice Address - Country:US
Practice Address - Phone:830-335-7509
Practice Address - Fax:830-335-7513
Is Sole Proprietor?:No
Enumeration Date:2010-07-08
Last Update Date:2024-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX000554361I207V00000X
TXP8320207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology