Provider Demographics
NPI:1477861037
Name:OKOYE, FIDELIS
Entity Type:Individual
Prefix:MR
First Name:FIDELIS
Middle Name:
Last Name:OKOYE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14930 SUGAR PEAK DR
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77498-5373
Mailing Address - Country:US
Mailing Address - Phone:713-894-4455
Mailing Address - Fax:713-456-3494
Practice Address - Street 1:7457 HARWIN DR
Practice Address - Street 2:SUITE 213
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-2018
Practice Address - Country:US
Practice Address - Phone:281-888-5076
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-16
Last Update Date:2010-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care