Provider Demographics
NPI:1265149744
Name:HONORIODE LLC
Entity type:Organization
Organization Name:HONORIODE LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HELEN
Authorized Official - Middle Name:OGHENEKEVWE
Authorized Official - Last Name:ONORIODE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:347-845-4435
Mailing Address - Street 1:2310 N HENDERSON AVE APT 722
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75206-7304
Mailing Address - Country:US
Mailing Address - Phone:469-844-7257
Mailing Address - Fax:
Practice Address - Street 1:8160 WALNUT HILL LN STE 308
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231-4355
Practice Address - Country:US
Practice Address - Phone:214-286-5429
Practice Address - Fax:214-286-5430
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-03
Last Update Date:2022-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty