Provider Demographics
NPI:1487347464
Name:UKO, LAUREL EMMANUEL
Entity type:Individual
Prefix:
First Name:LAUREL
Middle Name:EMMANUEL
Last Name:UKO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 79569
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77279-9569
Mailing Address - Country:US
Mailing Address - Phone:214-901-0567
Mailing Address - Fax:
Practice Address - Street 1:20320 NW FREEWAY # 400
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77065
Practice Address - Country:US
Practice Address - Phone:832-614-8041
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-26
Last Update Date:2023-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
No172V00000XOther Service ProvidersCommunity Health Worker