Provider Demographics
NPI:1235796665
Name:ONGECHI, DORIS K
Entity Type:Individual
Prefix:
First Name:DORIS
Middle Name:K
Last Name:ONGECHI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3700 MCCANN RD APT 279
Mailing Address - Street 2:
Mailing Address - City:LONGVIEW
Mailing Address - State:TX
Mailing Address - Zip Code:75605-1708
Mailing Address - Country:US
Mailing Address - Phone:903-917-1040
Mailing Address - Fax:
Practice Address - Street 1:3700 MCCANN RD APT 279
Practice Address - Street 2:
Practice Address - City:LONGVIEW
Practice Address - State:TX
Practice Address - Zip Code:75605-1708
Practice Address - Country:US
Practice Address - Phone:903-917-1040
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-05-21
Last Update Date:2019-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX965955163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse