Provider Demographics
NPI:1417025305
Name:OKONS, BEATRICE (DC)
Entity Type:Individual
Prefix:
First Name:BEATRICE
Middle Name:
Last Name:OKONS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5460 WEDGMONT CIR N
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76133-2640
Mailing Address - Country:US
Mailing Address - Phone:817-370-0967
Mailing Address - Fax:817-370-0967
Practice Address - Street 1:5460 WEDGMONT CIR N
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76133-2640
Practice Address - Country:US
Practice Address - Phone:817-370-0967
Practice Address - Fax:817-370-0967
Is Sole Proprietor?:No
Enumeration Date:2006-12-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDC8318111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor