Healthcare Provider Details

I. General information

NPI: 1689109043
Provider Name (Legal Business Name): HANNAH OKOCHA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/24/2017
Last Update Date: 04/03/2025
Certification Date: 04/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8000 N SAM HOUSTON PKWY E
HUMBLE TX
77396-2900
US

IV. Provider business mailing address

11807 WESTHEIMER ROAD SUITE 550 PMP 1083
HOUSTON TX
77077
US

V. Phone/Fax

Practice location:
  • Phone: 815-212-3097
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP137278
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: