Chibuike Okoro Md Pllc | |
1950 Record Crossing Rd Dallas TX 75235-6223 | |
(214) 640-9600 | |
Not Available |
Full Name | Chibuike Okoro Md Pllc |
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Speciality | Internal Medicine |
Location | 1950 Record Crossing Rd, Dallas, Texas |
Authorized Official Name and Position | Chibuike Okoro (OWNER) |
Authorized Official Contact | 2144185651 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Chibuike Okoro Md Pllc 4760 Preston Rd Ste 244-284 Frisco TX 75034-8548 Ph: (214) 418-5651 | Chibuike Okoro Md Pllc 1950 Record Crossing Rd Dallas TX 75235-6223 Ph: (214) 640-9600 |
NPI Number | 1255894648 |
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Provider Enumeration Date | 04/11/2019 |
Last Update Date | 04/11/2019 |
Medicare PECOS PAC ID | 2567704893 |
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Medicare Enrollment ID | O20190507000365 |
Identifier | Type | State | Issuer |
---|---|---|---|
1255894648 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Chibuike Uzoma Okoro |
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Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1811197338 PECOS PAC ID: 0749464329 Enrollment ID: I20110405001123 |
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