Healthcare Provider Details

I. General information

NPI: 1669493557
Provider Name (Legal Business Name): OKORIE U. OKO
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/23/2006
Last Update Date: 05/28/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9888 BISSONNET ST STE 100 F
HOUSTON TX
77036-8228
US

IV. Provider business mailing address

9888 BISSONNET ST STE 100 F
HOUSTON TX
77036-8228
US

V. Phone/Fax

Practice location:
  • Phone: 713-776-9399
  • Fax: 713-776-3994
Mailing address:
  • Phone: 713-776-9399
  • Fax: 713-776-3994

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number009581
License Number StateTX

VIII. Authorized Official

Name: DR. OKORIE U OKO
Title or Position: CFO
Credential: DC
Phone: 713-776-9399