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NPI Code Detail

MEDICARE: ELIZABETH OKOYE-EZEOKE

MEDICARE:   ELIZABETH  OKOYE-EZEOKE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor94336TX

General Provider Information

NPI Number : 1396683173
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH OKOYE-EZEOKE
Provider Business Mailing Address
First Line : 4702 OWENS GLEN CT
Second Line :
City : FRESNO
State : TX
Zip : 77545-8466
Country : US
Telephone Number : 713-597-1208
Fax Number :
Provider Business Practice Location Address
First Line : 2021 GUADALUPE ST STE 260
Second Line :
City : AUSTIN
State : TX
Zip : 78705-5654
Country : US
Telephone Number : 646-941-7645
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/23/2026
Last Update Date : 03/23/2026

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Directions to “ ELIZABETH OKOYE-EZEOKE ” Practice Location

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