Provider Demographics
NPI:1154956811
Name:OKIBE, ANNASTECIA CHINASA
Entity type:Individual
Prefix:MRS
First Name:ANNASTECIA
Middle Name:CHINASA
Last Name:OKIBE
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:ANNASTECIA
Other - Middle Name:CHINASA
Other - Last Name:OKIBE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:D,O
Mailing Address - Street 1:4810 RIVERSTONE BLVD
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77459-4092
Mailing Address - Country:US
Mailing Address - Phone:832-916-2677
Mailing Address - Fax:832-802-6163
Practice Address - Street 1:4810 RIVERSTONE BLVD STE 100
Practice Address - Street 2:
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77459-4092
Practice Address - Country:US
Practice Address - Phone:713-741-5050
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-03-03
Last Update Date:2025-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP144912163WP0809X, 163WP0807X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0807XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Child & Adolescent
No163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Adult