Provider Demographics
NPI:1376127456
Name:OKONKWO, UZOAMAKA
Entity Type:Individual
Prefix:
First Name:UZOAMAKA
Middle Name:
Last Name:OKONKWO
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 1:17243 MERRY SONG CT
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77407-2963
Mailing Address - Country:US
Mailing Address - Phone:469-358-5712
Mailing Address - Fax:
Practice Address - Street 1:17243 MERRY SONG CT
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77407-2963
Practice Address - Country:US
Practice Address - Phone:469-358-5712
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-05
Last Update Date:2021-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty