Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Enobong C. Udo, A-GNP

Individual provider Adult Health Nurse Practitioner · NPI 1124518253

Enobong C. Udo, A-GNP is a Nurse Practitioner in Dallas, Texas. Qualified in 2017, 9 years ago. Practices with Dallas County Hospital District, a 598-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Texas.

Years since qualifying
9
Licensed in
TX
In the registry since
2018
Specialties on file
4
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Practice location Address checks out

2231 Butler St
Dallas, TX 75235-7826
Phone: (214) 590-0409
Fax: (214) 590-0413
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence AP137519 (TX)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence AP137519 (TX)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence AP137519 (TX)
Primary Care Nurse Practitioner Taxonomy 363LP2300X · Licence AP137519 (TX)

Record details

NPI number1124518253
Entity typeIndividual (Type 1)
GenderFemale
Credentials A-GNP
Sole proprietorNo
NPI enumeratedMay 15, 2018
Last updated in NPPESAugust 23, 2024
Certification dateAugust 23, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Dallas County Hospital District — 598 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Dallas