Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | S0201 | TX |
NPI | 1003200916 |
---|---|
Provider Name | Nneka Okafor |
First Address | Houston, TX 77098-3926 |
Second Address | Houston, TX 77098-3926 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/03/2015 |
Last Update Date | 20/11/2020 |