Healthcare Provider Details

I. General information

NPI: 1184442055
Provider Name (Legal Business Name): PRINCESS CHIOMA OKOYE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/30/2024
Last Update Date: 09/30/2024
Certification Date: 09/06/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

28727 N FIRETHORNE RD
KATY TX
77494-5087
US

IV. Provider business mailing address

7222 SOUTH PEEK RD APT 1233
RICHMOND TX
77407
US

V. Phone/Fax

Practice location:
  • Phone: 281-234-1776
  • Fax:
Mailing address:
  • Phone: 817-703-9098
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2355S0801X
TaxonomySpeech-Language Assistant
License Number43764
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: