Provider Demographics
NPI:1467480806
Name:LOUIS C OKAFOR SR
Entity Type:Organization
Organization Name:LOUIS C OKAFOR SR
Other - Org Name:ACCESS MEDICAL SUPPLIES AND EQUIPMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/ CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:LOUIS
Authorized Official - Middle Name:CHINEDU
Authorized Official - Last Name:OKAFOR
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:214-228-9276
Mailing Address - Street 1:9224 MARKVILLE DR
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75243-4404
Mailing Address - Country:US
Mailing Address - Phone:972-222-2960
Mailing Address - Fax:972-792-7014
Practice Address - Street 1:9224 MARKVILLE DR
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75243-4404
Practice Address - Country:US
Practice Address - Phone:972-222-2960
Practice Address - Fax:972-792-7014
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-28
Last Update Date:2009-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0066619332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX7798142-02Medicaid
TX5599540001Medicare NSC