Provider Demographics
NPI:1356971196
Name:OKUMBOR, PHILIPPA IFEOMA (APRN-NP)
Entity type:Individual
Prefix:
First Name:PHILIPPA
Middle Name:IFEOMA
Last Name:OKUMBOR
Suffix:
Gender:F
Credentials:APRN-NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18 KESTREL CT
Mailing Address - Street 2:
Mailing Address - City:HEATH
Mailing Address - State:TX
Mailing Address - Zip Code:75032-2043
Mailing Address - Country:US
Mailing Address - Phone:214-675-4732
Mailing Address - Fax:
Practice Address - Street 1:3247 DAWES DR
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75211-5760
Practice Address - Country:US
Practice Address - Phone:214-330-7767
Practice Address - Fax:214-330-7780
Is Sole Proprietor?:No
Enumeration Date:2020-01-21
Last Update Date:2025-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP144674363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily