MEDICARE: UDOKA OKAFOR

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	225200000X	Physical Therapy Assistant		TX

General Provider Information

NPI Number	:	1285303842
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	UDOKA OKAFOR

Provider Business Mailing Address
First Line	:	2727 SYNOTT RD APT 109
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77082-3510
Country	:	US
Telephone Number	:	571-325-8315
Fax Number	:

Provider Business Practice Location Address
First Line	:	3600 S GESSNER RD STE 215
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77063-5150
Country	:	US
Telephone Number	:	713-784-2781
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/08/2021
Last Update Date	:	09/08/2021

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Directions to “ UDOKA OKAFOR ” Practice Location

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