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NPI Code Detail

MEDICARE: DAVID ONYEOBA OKALEKA

MEDICARE:   DAVID ONYEOBA OKALEKA
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
1390200000XStudent in an Organized Health Care Education/Training Program
2363LP0808XPsychiatric/Mental Health Nurse Practitioner1179921TX

General Provider Information

NPI Number : 1841027257
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID ONYEOBA OKALEKA
Provider Business Mailing Address
First Line : 1900 MATLOCK RD BLDG 2
Second Line :
City : MANSFIELD
State : TX
Zip : 76063-4391
Country : US
Telephone Number : 817-312-6458
Fax Number :
Provider Business Practice Location Address
First Line : 3840 HULEN ST
Second Line :
City : FORT WORTH
State : TX
Zip : 76107-7277
Country : US
Telephone Number : 817-569-4300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/18/2024
Last Update Date : 05/27/2026

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Directions to “ DAVID ONYEOBA OKALEKA ” Practice Location

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