Provider Demographics
NPI:1013727288
Name:OKORO, UCHECHI
Entity type:Individual
Prefix:
First Name:UCHECHI
Middle Name:
Last Name:OKORO
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:PO BOX 182
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77410-0182
Mailing Address - Country:US
Mailing Address - Phone:862-215-2805
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 182
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77410-0182
Practice Address - Country:US
Practice Address - Phone:862-215-2805
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-10
Last Update Date:2025-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCNP1046383363LP0808X
MDAC006990363LP0808X
TX1177307363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health