Provider Demographics
NPI:1043519101
Name:LAWRENCE ODINAKA OKONKWO
Entity Type:Organization
Organization Name:LAWRENCE ODINAKA OKONKWO
Other - Org Name:EVERCARE EMS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LAWRENCE
Authorized Official - Middle Name:
Authorized Official - Last Name:OKONKWO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-550-4161
Mailing Address - Street 1:3976 BLUEBONNET DR
Mailing Address - Street 2:
Mailing Address - City:STAFFORD
Mailing Address - State:TX
Mailing Address - Zip Code:77477-3945
Mailing Address - Country:US
Mailing Address - Phone:713-550-4161
Mailing Address - Fax:281-565-2573
Practice Address - Street 1:3976 BLUEBONNET DR
Practice Address - Street 2:
Practice Address - City:STAFFORD
Practice Address - State:TX
Practice Address - Zip Code:77477-3945
Practice Address - Country:US
Practice Address - Phone:713-550-4161
Practice Address - Fax:281-565-2573
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-15
Last Update Date:2011-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
No3416L0300XTransportation ServicesAmbulanceLand Transport