Provider Demographics
NPI:1396876405
Name:NWAOKOLO, FELIX CHUKWUDI
Entity type:Individual
Prefix:
First Name:FELIX
Middle Name:CHUKWUDI
Last Name:NWAOKOLO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9550 FOREST LN STE 322
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75243-6067
Mailing Address - Country:US
Mailing Address - Phone:214-221-5055
Mailing Address - Fax:214-221-7768
Practice Address - Street 1:9550 FOREST LN STE 322
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75243-6067
Practice Address - Country:US
Practice Address - Phone:214-221-5055
Practice Address - Fax:214-221-7768
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies