MEDICARE: CHIBUIKE OKORO MD PLLC

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	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1255894648
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHIBUIKE OKORO MD PLLC

Provider Business Mailing Address
First Line	:	4760 PRESTON RD STE 244-284
Second Line	:
City	:	FRISCO
State	:	TX
Zip	:	75034-8548
Country	:	US
Telephone Number	:	214-418-5651
Fax Number	:

Provider Business Practice Location Address
First Line	:	1950 RECORD CROSSING RD
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75235-6223
Country	:	US
Telephone Number	:	214-640-9600
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	CHIBUIKE OKORO
Credential	:	MD
Telephone Number	:	214-418-5651

Provider Enumeration Date	:	04/11/2019
Last Update Date	:	04/11/2019

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