Provider Demographics
NPI:1821586165
Name:OKEKE, OGOCHUKWU
Entity Type:Individual
Prefix:
First Name:OGOCHUKWU
Middle Name:
Last Name:OKEKE
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 1:1801 MCCORD WAY APT 1121
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75033-1171
Mailing Address - Country:US
Mailing Address - Phone:708-508-1115
Mailing Address - Fax:
Practice Address - Street 1:1801 MCCORD WAY APT 1121
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75033-1171
Practice Address - Country:US
Practice Address - Phone:708-508-1115
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-23
Last Update Date:2018-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX920963163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse