Provider Demographics
NPI:1922084599
Name:UGALINO, JOEY ANDREW (MD)
Entity Type:Individual
Prefix:
First Name:JOEY
Middle Name:ANDREW
Last Name:UGALINO
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 1:95 E PRICE RD
Mailing Address - Street 2:BLDG D
Mailing Address - City:BROWNSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78521-3578
Mailing Address - Country:US
Mailing Address - Phone:956-546-3209
Mailing Address - Fax:956-544-8120
Practice Address - Street 1:95 E PRICE RD
Practice Address - Street 2:BLDG D
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78521-3578
Practice Address - Country:US
Practice Address - Phone:956-546-3209
Practice Address - Fax:956-544-8120
Is Sole Proprietor?:No
Enumeration Date:2005-12-15
Last Update Date:2021-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL6690207RG0300X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX171305901Medicaid
TX8B4863Medicare Oscar/Certification
TX171305901Medicaid