Provider Demographics
NPI:1831493105
Name:UZUEGBU, BEN N
Entity Type:Individual
Prefix:MR
First Name:BEN
Middle Name:N
Last Name:UZUEGBU
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10062 ROYAL LN APT 209
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75238-1141
Mailing Address - Country:US
Mailing Address - Phone:214-772-5350
Mailing Address - Fax:
Practice Address - Street 1:10062 ROYAL LN APT 209
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75238-1141
Practice Address - Country:US
Practice Address - Phone:214-772-5350
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-31
Last Update Date:2010-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)