Provider Demographics
NPI:1851822381
Name:NWOKO, ANGELA
Entity Type:Individual
Prefix:
First Name:ANGELA
Middle Name:
Last Name:NWOKO
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 1:6804 SHADY VIEW CT
Mailing Address - Street 2:
Mailing Address - City:SACHSE
Mailing Address - State:TX
Mailing Address - Zip Code:75048-3059
Mailing Address - Country:US
Mailing Address - Phone:214-682-1439
Mailing Address - Fax:972-496-0212
Practice Address - Street 1:6804 SHADY VIEW CT
Practice Address - Street 2:
Practice Address - City:SACHSE
Practice Address - State:TX
Practice Address - Zip Code:75048-3059
Practice Address - Country:US
Practice Address - Phone:214-682-1439
Practice Address - Fax:972-496-0212
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-26
Last Update Date:2022-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No103TM1800XBehavioral Health & Social Service ProvidersPsychologistIntellectual & Developmental Disabilities