Provider Demographics
NPI:1801821939
Name:OKONJI-AZUOGU, CATHERINE (MD)
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:
Last Name:OKONJI-AZUOGU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:CATHERINE
Other - Middle Name:
Other - Last Name:OKONJI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:25801 HWY 290
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77429-1049
Mailing Address - Country:US
Mailing Address - Phone:281-304-1100
Mailing Address - Fax:281-403-4718
Practice Address - Street 1:25801 HIGHWAY 290
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77429-1049
Practice Address - Country:US
Practice Address - Phone:281-304-1100
Practice Address - Fax:281-256-0205
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-11
Last Update Date:2016-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL7507207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
I02206Medicare UPIN