Healthcare Provider Details

I. General information

NPI: 1255777868
Provider Name (Legal Business Name): ADAOBI O OKONKWOR MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/22/2013
Last Update Date: 08/15/2023
Certification Date: 08/15/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2222 W 24TH ST
PLAINVIEW TX
79072-1802
US

IV. Provider business mailing address

2222 W 24TH ST
PLAINVIEW TX
79072-1802
US

V. Phone/Fax

Practice location:
  • Phone: 806-293-5113
  • Fax:
Mailing address:
  • Phone: 62-935-1138
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberMT203696
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberR7551
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: