Provider Demographics
NPI:1801490024
Name:UGBO, SATURDAY MATTHEW (APN)
Entity type:Individual
Prefix:
First Name:SATURDAY
Middle Name:MATTHEW
Last Name:UGBO
Suffix:
Gender:
Credentials:APN
Other - Prefix:
Other - First Name:SATURDAY
Other - Middle Name:
Other - Last Name:IDEMUDIA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:17419 STONEBROOK RUN CT
Mailing Address - Street 2:
Mailing Address - City:TOMBALL
Mailing Address - State:TX
Mailing Address - Zip Code:77375-0064
Mailing Address - Country:US
Mailing Address - Phone:347-781-8709
Mailing Address - Fax:713-900-6321
Practice Address - Street 1:427 W 20TH ST STE 300
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77008-2429
Practice Address - Country:US
Practice Address - Phone:713-791-1633
Practice Address - Fax:713-791-1710
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-29
Last Update Date:2025-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1033763363LF0000X, 363LP0808X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty