Provider Demographics
NPI:1477815496
Name:UDOFIA, ANIEBIET-ABASI UKO (MD)
Entity type:Individual
Prefix:DR
First Name:ANIEBIET-ABASI
Middle Name:UKO
Last Name:UDOFIA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:200 VALLEY WOOD DR STE A300
Mailing Address - Street 2:
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77380-3573
Mailing Address - Country:US
Mailing Address - Phone:832-402-1400
Mailing Address - Fax:210-855-7337
Practice Address - Street 1:200 VALLEY WOOD DR STE A300
Practice Address - Street 2:
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77380-3573
Practice Address - Country:US
Practice Address - Phone:832-402-1400
Practice Address - Fax:210-855-7337
Is Sole Proprietor?:No
Enumeration Date:2012-06-14
Last Update Date:2024-08-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXS8501207XX0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports Medicine