Healthcare Provider Details

I. General information

NPI: 1972201630
Provider Name (Legal Business Name): SONIA CHIAMAKA OKORIE APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/21/2023
Last Update Date: 05/22/2024
Certification Date: 05/21/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4600 GULF FWY STE 100
HOUSTON TX
77023-3533
US

IV. Provider business mailing address

770 N ELDRIDGE PKWY APT 419
HOUSTON TX
77079-4540
US

V. Phone/Fax

Practice location:
  • Phone: 713-522-3976
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number1084714
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: