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NPI Code Detail

MEDICARE: DR. GYONGYI OKECHUKU MD

MEDICARE: DR. GYONGYI OKECHUKU MD
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
1208M00000XHospitalist PhysicianT9766TX
2207R00000XInternal Medicine PhysicianT9766TX
3207R00000XInternal Medicine PhysicianMD21851ME

General Provider Information

NPI Number : 1215261623
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GYONGYI OKECHUKU MD
Provider Business Mailing Address
First Line : PO BOX 844658
Second Line :
City : DALLAS
State : TX
Zip : 75284-4658
Country : US
Telephone Number : 800-994-0371
Fax Number : 254-215-9722
Provider Business Practice Location Address
First Line : 700 SCOTT AND WHITE DR
Second Line :
City : COLLEGE STATION
State : TX
Zip : 77845-6441
Country : US
Telephone Number : 970-207-0100
Fax Number : 979-207-2162
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/01/2009
Last Update Date : 05/06/2026

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