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NPI Code Detail

MEDICARE: ADAEZE OKEKE MD

MEDICARE: ADAEZE OKEKE MD
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
1207Q00000XFamily Medicine PhysicianL9405TX

General Provider Information

NPI Number : 1649350059
Entity Type Code : Individual
Provider Name (Legal Business Name) : ADAEZE OKEKE MD
Provider Business Mailing Address
First Line : 1636 HAWTHORNE ST APT 1
Second Line :
City : HOUSTON
State : TX
Zip : 77006-3716
Country : US
Telephone Number : 305-431-9860
Fax Number :
Provider Business Practice Location Address
First Line : 6630 DE MOSS DR
Second Line :
City : HOUSTON
State : TX
Zip : 77074-5004
Country : US
Telephone Number : 713-272-2600
Fax Number : 713-272-5589
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/17/2006
Last Update Date : 07/08/2007

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Directions to “ ADAEZE OKEKE MD” Practice Location

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