Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | AP140203 | TX |
NPI | 1033693601 |
---|---|
Provider Name | Olga Awuor Ochieng |
First Address | Pearland, TX 77584-7330 |
Second Address | Pearland, TX 77584-7333 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/09/2018 |
Last Update Date | 23/04/2019 |