Basic Information
| Provider Information | |||||||||
| NPI: | 1538542071 | ||||||||
| EntityType: | 1 | ||||||||
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| LastName: | USORO | ||||||||
| FirstName: | EMEM | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 10200 SIX PINES DRIVE | ||||||||
| Address2: | APT 327 | ||||||||
| City: | THE WOODLANDS | ||||||||
| State: | TX | ||||||||
| PostalCode: | 77380 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9523933645 | ||||||||
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| Practice Location | |||||||||
| Address1: | 83 COLUMBIA ST | ||||||||
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| City: | ORLANDO | ||||||||
| State: | FL | ||||||||
| PostalCode: | 32806 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3218433220 | ||||||||
| FaxNumber: | 3218433210 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/01/2015 | ||||||||
| LastUpdateDate: | 09/07/2018 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208M00000X | R6928 | TX | Y | Allopathic & Osteopathic Physicians | Hospitalist | 390200000X | TRN 21718 | FL | N | Student, Health Care | Student in an Organized Health Care Education/Training Program |
No ID Information.