Provider Demographics
NPI:1932469426
Name:OKEKE, CHIOMA N
Entity Type:Individual
Prefix:MRS
First Name:CHIOMA
Middle Name:N
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 1:224 HIGHWAY 290 EAST
Mailing Address - Street 2:
Mailing Address - City:HEMPSTEAD
Mailing Address - State:TX
Mailing Address - Zip Code:77445
Mailing Address - Country:US
Mailing Address - Phone:979-826-4466
Mailing Address - Fax:832-514-7095
Practice Address - Street 1:224 BUSINESS HIGHWAY 290 EAST
Practice Address - Street 2:
Practice Address - City:HEMPSTEAD
Practice Address - State:TX
Practice Address - Zip Code:77445
Practice Address - Country:US
Practice Address - Phone:979-826-4466
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-18
Last Update Date:2012-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1000887332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies