Provider Demographics
NPI:1467171835
Name:OKAFOR, REGINA CHIZOMA
Entity Type:Individual
Prefix:
First Name:REGINA
Middle Name:CHIZOMA
Last Name:OKAFOR
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 1:8312 N IH 35 APT 133
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78753-5296
Mailing Address - Country:US
Mailing Address - Phone:972-704-8872
Mailing Address - Fax:
Practice Address - Street 1:8312 N IH 35 APT 133
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78753-5296
Practice Address - Country:US
Practice Address - Phone:972-704-8872
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-26
Last Update Date:2022-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX943171163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse