Provider Demographics
NPI:1346278900
Name:EUNICE I . OKAFOR
Entity Type:Organization
Organization Name:EUNICE I . OKAFOR
Other - Org Name:URBAN HEALTH SERVICE INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:C.E.O
Authorized Official - Prefix:MRS
Authorized Official - First Name:EUNICE
Authorized Official - Middle Name:I
Authorized Official - Last Name:OKAFOR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:972-313-8187
Mailing Address - Street 1:350 S BELT LINE RD
Mailing Address - Street 2:SUITE # 104
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75060-2106
Mailing Address - Country:US
Mailing Address - Phone:972-313-8187
Mailing Address - Fax:972-313-8520
Practice Address - Street 1:350 S BELT LINE RD
Practice Address - Street 2:SUITE # 104
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75060-2106
Practice Address - Country:US
Practice Address - Phone:972-313-8187
Practice Address - Fax:972-313-8520
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-30
Last Update Date:2007-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0068316332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
4866430001Medicare NSC