Provider Demographics
NPI:1083010656
Name:OKEKE, NCHETAKA (RN)
Entity Type:Individual
Prefix:
First Name:NCHETAKA
Middle Name:
Last Name:OKEKE
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9702 THISTLE TRAIL DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77070-1964
Mailing Address - Country:US
Mailing Address - Phone:832-257-6913
Mailing Address - Fax:866-528-5246
Practice Address - Street 1:9702 THISTLE TRAIL DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77070-1964
Practice Address - Country:US
Practice Address - Phone:832-257-6913
Practice Address - Fax:866-528-5246
Is Sole Proprietor?:Yes
Enumeration Date:2014-11-10
Last Update Date:2014-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX758253163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health