Provider Demographics
NPI:1487990289
Name:OKAFOR, CHITO O
Entity type:Individual
Prefix:
First Name:CHITO
Middle Name:O
Last Name:OKAFOR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6210 ALLENDALE RIDGE TRL
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77407-1048
Mailing Address - Country:US
Mailing Address - Phone:504-906-4080
Mailing Address - Fax:
Practice Address - Street 1:6210 ALLENDALE RIDGE TRL
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77407-1048
Practice Address - Country:US
Practice Address - Phone:504-906-4080
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-25
Last Update Date:2018-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA019707183500000X
343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Yes183500000XPharmacy Service ProvidersPharmacist