Provider Demographics
NPI:1104342898
Name:WATURUOCHA, UGOCHI AMARA (PA)
Entity type:Individual
Prefix:
First Name:UGOCHI
Middle Name:AMARA
Last Name:WATURUOCHA
Suffix:
Gender:F
Credentials:PA
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Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:5602 PRESIDIO PKWY APT 1425
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78249-3094
Mailing Address - Country:US
Mailing Address - Phone:832-788-0006
Mailing Address - Fax:
Practice Address - Street 1:5602 PRESIDIO PKWY APT 1425
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78249-3094
Practice Address - Country:US
Practice Address - Phone:832-788-0006
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-15
Last Update Date:2022-07-21
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant