Provider / Organization | NPI | Date Certified |
---|---|---|
ROY URUM | 1205684495 | 2024-05-11 |
Roy Urum is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1205684495. Registration indicates Roy Urum is a provider of services with a specialization in Student, Health Care, Student in an Organized Health Care Education/Training Program (Student in an Organized Health Care Education/Training Program, ) (All Other Specialties & Provider Types, ) (Student in an Organized Health Care Education/Training Program, Student, Health Care)
Entity Type | Individual |
Provider Name | Roy Urum |
Practice Office Address | 4801 ALBERTA AVE EL PASO, TX US |
Practice Office Telephone | 9152158000 |
Mailing Address | 4801 ALBERTA AVE EL PASO, TX 799052707 US |
Code | Practice | License No State |
---|---|---|
390200000X PRIMARY | Student, Health Care Student in an Organized Health Care Education/Training Program Student in an Organized Health Care Education/Training Program All Other Specialties & Provider Types Student in an Organized Health Care Education/Training Program Student, Health Care | BP10090515
TX |