| Doctor Name: | MR. IKECHUKWU ANDREW UDEME |
| NPI Number: | 1013287515 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | RN, MBA |
| License Number: | 602249 |
| Business Practice Address: | 117 W Bedford Euless Rd Hurst, TX - 760534006 |
| Business Phone Number: | 8172680041 |
| Business Fax Number: | |
| Mailing Address: | 117 W Bedford Euless Rd, HURST |
| State: | TX |
| Postal Code: | 760534006 |
| Phone Number: | 8172680041 |
| Fax Number: | |
| NPI Enumeration Date: | 12/31/2011 |
| NPI Last Update Date: | 12/31/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WH0200X |
| License Number: | 602249 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Home Health |
| Taxonomy Definition: | |