Provider Demographics
NPI:1154636306
Name:OROKI FAMILY HEALTH CLINIC, PA
Entity Type:Organization
Organization Name:OROKI FAMILY HEALTH CLINIC, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:RAYMOND
Authorized Official - Middle Name:TAIWO
Authorized Official - Last Name:ADEDAPO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:203-918-9060
Mailing Address - Street 1:12805 CULLEN BLVD STE E
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77047-3760
Mailing Address - Country:US
Mailing Address - Phone:281-397-3799
Mailing Address - Fax:281-397-3798
Practice Address - Street 1:12805 CULLEN BLVD STE E
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77047
Practice Address - Country:US
Practice Address - Phone:281-397-3799
Practice Address - Fax:281-397-3798
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-12
Last Update Date:2018-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN4879261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care