Provider Demographics
NPI:1639592124
Name:OKENDU, GRACE
Entity Type:Individual
Prefix:
First Name:GRACE
Middle Name:
Last Name:OKENDU
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 1:7322 SOUTHWEST FWY STE 530
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77074-2080
Mailing Address - Country:US
Mailing Address - Phone:713-429-4516
Mailing Address - Fax:281-988-5391
Practice Address - Street 1:7322 SOUTHWEST FWY STE 530
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77074-2080
Practice Address - Country:US
Practice Address - Phone:713-429-4516
Practice Address - Fax:281-988-5391
Is Sole Proprietor?:No
Enumeration Date:2014-02-04
Last Update Date:2014-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
No372600000XNursing Service Related ProvidersAdult Companion