Provider Demographics
NPI:1821026402
Name:ELETE, UMA R (MD)
Entity Type:Individual
Prefix:
First Name:UMA
Middle Name:R
Last Name:ELETE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:6901 SNIDER PLZ
Mailing Address - Street 2:SUITE 130
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75205-5648
Mailing Address - Country:US
Mailing Address - Phone:214-696-8033
Mailing Address - Fax:214-361-2552
Practice Address - Street 1:6901 SNIDER PLZ
Practice Address - Street 2:SUITE 130
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75205-5648
Practice Address - Country:US
Practice Address - Phone:214-696-8033
Practice Address - Fax:214-361-2552
Is Sole Proprietor?:No
Enumeration Date:2006-06-30
Last Update Date:2007-11-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXL8051207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8M5923OtherBCVBS
TXP00131023Medicare PIN
TXI04776Medicare UPIN
TX8B7323Medicare PIN