Provider Demographics
NPI:1649403635
Name:ONUKWU, STEPHEN OKAFOR
Entity Type:Individual
Prefix:
First Name:STEPHEN
Middle Name:OKAFOR
Last Name:ONUKWU
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 1:10103 FONDREN RD STE 302
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77096-4655
Mailing Address - Country:US
Mailing Address - Phone:713-988-4969
Mailing Address - Fax:713-988-0886
Practice Address - Street 1:10103 FONDREN RD STE 302
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77096-4655
Practice Address - Country:US
Practice Address - Phone:713-988-4969
Practice Address - Fax:713-988-0886
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-25
Last Update Date:2009-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251X00000XAgenciesSupports Brokerage