Provider Demographics
NPI:1306890520
Name:NNENNA AKWARI OKORO INC
Entity type:Organization
Organization Name:NNENNA AKWARI OKORO INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NNENNA
Authorized Official - Middle Name:A
Authorized Official - Last Name:OKORO
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:713-779-9200
Mailing Address - Street 1:1200 BLALOCK RD
Mailing Address - Street 2:SUITE 316
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77055-6471
Mailing Address - Country:US
Mailing Address - Phone:713-779-9200
Mailing Address - Fax:713-779-9207
Practice Address - Street 1:1200 BLALOCK RD
Practice Address - Street 2:SUITE 316
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77055-6471
Practice Address - Country:US
Practice Address - Phone:713-779-9200
Practice Address - Fax:713-779-9207
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX3000683416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00610801Medicaid
TX5288177Medicare ID - Type Unspecified