Provider Demographics
NPI:1255330478
Name:OKAMMOR, IHUNNAYA CHIOMA (MD)
Entity Type:Individual
Prefix:
First Name:IHUNNAYA
Middle Name:CHIOMA
Last Name:OKAMMOR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:IHUNNAYA
Other - Middle Name:CHIOMA
Other - Last Name:NOSIRI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:11330 LEGACY DR STE 202
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75033-1219
Mailing Address - Country:US
Mailing Address - Phone:469-447-8730
Mailing Address - Fax:469-447-8704
Practice Address - Street 1:11330 LEGACY DR STE 202
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75033-1219
Practice Address - Country:US
Practice Address - Phone:469-447-8730
Practice Address - Fax:469-447-8704
Is Sole Proprietor?:No
Enumeration Date:2005-07-19
Last Update Date:2023-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL0468208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics