Provider Demographics
NPI:1104062223
Name:OKO, OKORIE UWAKWE (DC)
Entity type:Individual
Prefix:DR
First Name:OKORIE
Middle Name:UWAKWE
Last Name:OKO
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:9888 BISSONNET ST
Mailing Address - Street 2:SUITE 100-F
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-8247
Mailing Address - Country:US
Mailing Address - Phone:713-776-9399
Mailing Address - Fax:713-776-3994
Practice Address - Street 1:9888 BISSONNET ST
Practice Address - Street 2:SUITE 100-F
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-8247
Practice Address - Country:US
Practice Address - Phone:713-776-9399
Practice Address - Fax:713-776-3994
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-18
Last Update Date:2008-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX009581163WA2000X, 374U00000X, 364SH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SH0200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistHome Health
No163WA2000XNursing Service ProvidersRegistered NurseAdministrator
No374U00000XNursing Service Related ProvidersHome Health Aide
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX677970Medicare Oscar/Certification