Healthcare Provider Details

I. General information

NPI: 1831690601
Provider Name (Legal Business Name): JANET OKUN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/26/2018
Last Update Date: 02/26/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

537 COUNTY ROAD 812
BUNA TX
77612-3609
US

IV. Provider business mailing address

3330 FANNIN ST
BEAUMONT TX
77701-3801
US

V. Phone/Fax

Practice location:
  • Phone: 409-221-7104
  • Fax:
Mailing address:
  • Phone: 409-594-5989
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: