Provider Demographics
NPI:1366653420
Name:PATRICIA E. NWOKO
Entity Type:Organization
Organization Name:PATRICIA E. NWOKO
Other - Org Name:PN HOME HEALTH SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:AUGUSTINE
Authorized Official - Middle Name:EMEKA
Authorized Official - Last Name:NWOKO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-589-3115
Mailing Address - Street 1:1107 STATLER BEND DR
Mailing Address - Street 2:
Mailing Address - City:PFLUGERVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78660-4933
Mailing Address - Country:US
Mailing Address - Phone:512-587-4654
Mailing Address - Fax:512-990-8013
Practice Address - Street 1:1107 STATLER BEND DR
Practice Address - Street 2:
Practice Address - City:PFLUGERVILLE
Practice Address - State:TX
Practice Address - Zip Code:78660-4933
Practice Address - Country:US
Practice Address - Phone:512-587-4654
Practice Address - Fax:512-990-8013
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-24
Last Update Date:2008-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX008324251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX008324OtherLICENSE NUMBER
TX679411Medicare Oscar/Certification