Provider Demographics
NPI:1083408538
Name:OFOR, LILIAN C (NP)
Entity type:Individual
Prefix:
First Name:LILIAN
Middle Name:C
Last Name:OFOR
Suffix:
Gender:
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9930 SAGEGLOW DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77089-5007
Mailing Address - Country:US
Mailing Address - Phone:713-447-2204
Mailing Address - Fax:
Practice Address - Street 1:10100 KLECKLEY DRIVE#
Practice Address - Street 2:#B6
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77075
Practice Address - Country:US
Practice Address - Phone:832-742-9632
Practice Address - Fax:832-742-9679
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-08
Last Update Date:2025-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX113803363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care