Provider Demographics
NPI:1275921967
Name:OKA, VICTORIA SANDRA
Entity Type:Individual
Prefix:MRS
First Name:VICTORIA
Middle Name:SANDRA
Last Name:OKA
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 1:1298 LONGLEAF DR
Mailing Address - Street 2:
Mailing Address - City:CEDAR HILL
Mailing Address - State:TX
Mailing Address - Zip Code:75104-5456
Mailing Address - Country:US
Mailing Address - Phone:214-772-3748
Mailing Address - Fax:
Practice Address - Street 1:1298 LONGLEAF DR
Practice Address - Street 2:
Practice Address - City:CEDAR HILL
Practice Address - State:TX
Practice Address - Zip Code:75104-5456
Practice Address - Country:US
Practice Address - Phone:214-772-3748
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-02
Last Update Date:2015-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)