Healthcare Provider Details

I. General information

NPI: 1023357696
Provider Name (Legal Business Name): MARGARET UYAI OKON FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/02/2013
Last Update Date: 02/02/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1670 N HAMPTON RD SUITE 100
DESOTO TX
75115-8302
US

IV. Provider business mailing address

1835 MOUNTAIN LAUREL LN
ALLEN TX
75002-6379
US

V. Phone/Fax

Practice location:
  • Phone: 972-228-3678
  • Fax:
Mailing address:
  • Phone: 469-867-5544
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number624236
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: