MEDICARE: DR. NNALU FELICIA OCHEI M.D.

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	208000000X	Pediatrics Physician	M0201	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	752947854	OTHER	TX	TAX ID
2	10017754	OTHER	TX	PROVIDER # FOR AMERIGROUP
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	17735	OTHER	TX	PROVIDER # FOR PARKLAND
5	8R7200	OTHER	TX	PROVIDER # BCBS

General Provider Information

NPI Number	:	1912010034
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NNALU FELICIA OCHEI M.D.

Provider Business Mailing Address
First Line	:	2727 BOLTON BOONE DR
Second Line	:	SUITE 103
City	:	DESOTO
State	:	TX
Zip	:	75115-2019
Country	:	US
Telephone Number	:	972-296-7200
Fax Number	:	972-296-7206

Provider Business Practice Location Address
First Line	:	2727 BOLTON BOONE DR
Second Line	:	SUITE 103
City	:	DESOTO
State	:	TX
Zip	:	75115-2019
Country	:	US
Telephone Number	:	972-296-7200
Fax Number	:	972-296-7206

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

Provider Enumeration Date	:	08/15/2006
Last Update Date	:	07/08/2007

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