Healthcare Provider Details

I. General information

NPI: 1255730149
Provider Name (Legal Business Name): CECILIA OKOYE FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/18/2014
Last Update Date: 08/18/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10375 RICHMOND AVE STE 1700
HOUSTON TX
77042-4154
US

IV. Provider business mailing address

2631 MANORWOOD
SUGARLAND TX
77478
US

V. Phone/Fax

Practice location:
  • Phone: 713-343-8543
  • Fax:
Mailing address:
  • Phone: 281-240-1745
  • Fax: 888-757-2220

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number454395
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: