Provider Demographics
NPI:1992076657
Name:UMUKORO, FELIX (OTR)
Entity type:Individual
Prefix:MR
First Name:FELIX
Middle Name:
Last Name:UMUKORO
Suffix:
Gender:M
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:55 EMBER BRANCH DR
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77459-1107
Mailing Address - Country:US
Mailing Address - Phone:281-250-1602
Mailing Address - Fax:832-440-0483
Practice Address - Street 1:55 EMBER BRANCH DR
Practice Address - Street 2:
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77459-1107
Practice Address - Country:US
Practice Address - Phone:281-250-1602
Practice Address - Fax:832-440-0483
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-25
Last Update Date:2016-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX113758225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist