Provider Demographics
NPI:1912010034
Name:OCHEI, NNALU FELICIA (MD)
Entity Type:Individual
Prefix:DR
First Name:NNALU
Middle Name:FELICIA
Last Name:OCHEI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2727 BOLTON BOONE DR
Mailing Address - Street 2:SUITE 103
Mailing Address - City:DESOTO
Mailing Address - State:TX
Mailing Address - Zip Code:75115-2019
Mailing Address - Country:US
Mailing Address - Phone:972-296-7200
Mailing Address - Fax:972-296-7206
Practice Address - Street 1:2727 BOLTON BOONE DR
Practice Address - Street 2:SUITE 103
Practice Address - City:DESOTO
Practice Address - State:TX
Practice Address - Zip Code:75115-2019
Practice Address - Country:US
Practice Address - Phone:972-296-7200
Practice Address - Fax:972-296-7206
Is Sole Proprietor?:No
Enumeration Date:2006-08-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM0201208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX752947854OtherTAX ID
TX10017754OtherPROVIDER # FOR AMERIGROUP
TX171442001Medicaid
TX17735OtherPROVIDER # FOR PARKLAND
TX8R7200OtherPROVIDER # BCBS