Provider Demographics
NPI:1215949144
Name:OKOLI, OKEY (MD)
Entity type:Individual
Prefix:DR
First Name:OKEY
Middle Name:
Last Name:OKOLI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14100 NACOGDOCHES RD
Mailing Address - Street 2:SUITE 140
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78247-1903
Mailing Address - Country:US
Mailing Address - Phone:210-333-8895
Mailing Address - Fax:210-599-3693
Practice Address - Street 1:13035 NACOGDOCHES RD
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78217-1960
Practice Address - Country:US
Practice Address - Phone:210-333-8895
Practice Address - Fax:210-599-3693
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-12
Last Update Date:2023-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL1418207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX743112762OtherAETNA
TX163240801Medicaid
TX743112762OtherCIGNA
TX743112762OtherCIGNA
TXH42056Medicare UPIN
TX163240801Medicaid