Provider Demographics
NPI:1700935939
Name:OKORO, DOROTHY NDIDI (FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:DOROTHY
Middle Name:NDIDI
Last Name:OKORO
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17625 EL CAMINO REAL
Mailing Address - Street 2:SUITE 160
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77058-3052
Mailing Address - Country:US
Mailing Address - Phone:281-996-0070
Mailing Address - Fax:281-286-0041
Practice Address - Street 1:17625 EL CAMINO REAL
Practice Address - Street 2:SUITE 160
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77058-3052
Practice Address - Country:US
Practice Address - Phone:281-996-0070
Practice Address - Fax:281-286-0041
Is Sole Proprietor?:No
Enumeration Date:2007-01-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX587237363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily