Provider Demographics
NPI:1710124334
Name:OKO, AWODOR GABRIEL
Entity Type:Individual
Prefix:MR
First Name:AWODOR
Middle Name:GABRIEL
Last Name:OKO
Suffix:
Gender:M
Credentials:
Other - Prefix:MR
Other - First Name:AWODOR
Other - Middle Name:GABRIEL
Other - Last Name:OKO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MR
Mailing Address - Street 1:8300 BISSONNET ST
Mailing Address - Street 2:250
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77074
Mailing Address - Country:US
Mailing Address - Phone:713-777-0026
Mailing Address - Fax:713-777-1337
Practice Address - Street 1:8300 BISSONNET ST
Practice Address - Street 2:250
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77074
Practice Address - Country:US
Practice Address - Phone:713-777-0026
Practice Address - Fax:713-777-1337
Is Sole Proprietor?:No
Enumeration Date:2009-01-20
Last Update Date:2009-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant