Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RR0500X | Rheumatology | K1598 | TX |
NPI | 1104958750 |
---|---|
Provider Name | Obianuju C Okeke |
First Address | Sugar Land, TX 77478-3845 |
Second Address | Sugar Land, TX 77478 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/03/2007 |
Last Update Date | 12/10/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0923286-01 | (05) | TX |
G89748 | (02) | TX |