Provider Demographics
NPI:1851392823
Name:OKEZIE, OKEZIE NDUBISI II (MD)
Entity Type:Individual
Prefix:DR
First Name:OKEZIE
Middle Name:NDUBISI
Last Name:OKEZIE
Suffix:II
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 301206
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77230
Mailing Address - Country:US
Mailing Address - Phone:832-514-6300
Mailing Address - Fax:832-514-6301
Practice Address - Street 1:2307 W. BAKER ROAD
Practice Address - Street 2:SUITE #180
Practice Address - City:BAYTOWN
Practice Address - State:TX
Practice Address - Zip Code:77521
Practice Address - Country:US
Practice Address - Phone:832-514-6300
Practice Address - Fax:832-514-6301
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-02
Last Update Date:2023-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0063184208100000X
TXL58592081P2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain Medicine
No208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
I01892Medicare UPIN