Provider Demographics
NPI:1124854880
Name:OKONKWO, ROSEMARY UGOCHI
Entity type:Individual
Prefix:
First Name:ROSEMARY
Middle Name:UGOCHI
Last Name:OKONKWO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2955 CREEKWAY CIR
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77459-2132
Mailing Address - Country:US
Mailing Address - Phone:832-885-8845
Mailing Address - Fax:713-988-6247
Practice Address - Street 1:2955 CREEKWAY CIR
Practice Address - Street 2:
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77459-2132
Practice Address - Country:US
Practice Address - Phone:832-885-8845
Practice Address - Fax:713-988-6247
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-10
Last Update Date:2024-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health