Provider Demographics
NPI:1679589287
Name:UKPONG, EMEM D (PCA CAREGIVER)
Entity type:Individual
Prefix:
First Name:EMEM
Middle Name:D
Last Name:UKPONG
Suffix:
Gender:F
Credentials:PCA CAREGIVER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8307 SOLARA BND
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77083-5092
Mailing Address - Country:US
Mailing Address - Phone:281-667-3636
Mailing Address - Fax:281-624-4902
Practice Address - Street 1:8307 SOLARA BND
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77083-5092
Practice Address - Country:US
Practice Address - Phone:281-667-3636
Practice Address - Fax:281-624-4902
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-01
Last Update Date:2025-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX149819802Medicaid
8200358OtherDME
LA1622541Medicaid