Provider Demographics
NPI:1578033205
Name:OKAFOR, EVANGEL CHIEMERIE
Entity Type:Individual
Prefix:
First Name:EVANGEL
Middle Name:CHIEMERIE
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 1:12329 RIDGESIDE DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77072-3206
Mailing Address - Country:US
Mailing Address - Phone:832-762-1392
Mailing Address - Fax:
Practice Address - Street 1:12329 RIDGESIDE DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77072-3206
Practice Address - Country:US
Practice Address - Phone:832-762-1392
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-11-26
Last Update Date:2018-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX956501163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse