MEDICARE: CHRISTINE OKEZIE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies	0085952	TX

General Provider Information

NPI Number	:	1174634414
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHRISTINE OKEZIE

Provider Business Mailing Address
First Line	:	2650 FOUNTAIN VIEW DR
Second Line	:	SUITE #124
City	:	HOUSTON
State	:	TX
Zip	:	77057-7631
Country	:	US
Telephone Number	:	713-337-5037
Fax Number	:	713-337-5037

Provider Business Practice Location Address
First Line	:	2650 FOUNTAIN VIEW DR
Second Line	:	SUITE #124
City	:	HOUSTON
State	:	TX
Zip	:	77057-7631
Country	:	US
Telephone Number	:	713-337-5037
Fax Number	:	713-337-5037

Authorized Official
Title or Position	:	OWNER
Name	:	CHRISTINE OKEZIE
Credential	:
Telephone Number	:	713-337-5037

Provider Enumeration Date	:	08/31/2006
Last Update Date	:	06/19/2008

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Directions to “CHRISTINE OKEZIE ” Practice Location

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