Provider Demographics
NPI:1336805332
Name:OKOH, ONYEBUCHI UCHE
Entity Type:Individual
Prefix:
First Name:ONYEBUCHI
Middle Name:UCHE
Last Name:OKOH
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 1:8722 FLOSSIE MAE ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77029-3327
Mailing Address - Country:US
Mailing Address - Phone:281-881-7541
Mailing Address - Fax:
Practice Address - Street 1:12955 SOUTH FWY STE B20
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77047-1950
Practice Address - Country:US
Practice Address - Phone:281-881-7541
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-14
Last Update Date:2021-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1744P3200XOther Service ProvidersSpecialistProsthetics Case ManagementGroup - Single Specialty