Provider Demographics
NPI:1396375960
Name:MOKI MAKOGE, VERA
Entity Type:Individual
Prefix:
First Name:VERA
Middle Name:
Last Name:MOKI MAKOGE
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 1:14110 HARMONY RIDGE TRL
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-5290
Mailing Address - Country:US
Mailing Address - Phone:832-781-9616
Mailing Address - Fax:
Practice Address - Street 1:14110 HARMONY RIDGE TRL
Practice Address - Street 2:
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77584-5290
Practice Address - Country:US
Practice Address - Phone:832-781-9616
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-22
Last Update Date:2020-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX901610163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse