| Okons&o Medical Services Pllc | |
|
17070 Red Oak Dr Ste 403 Houston TX 77090-2609 | |
| (281) 836-5691 | |
| (281) 836-5692 |
| Full Name | Okons&o Medical Services Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 17070 Red Oak Dr Ste 403, Houston, Texas |
| Authorized Official Name and Position | Nzube Okonkwo (OWNER) |
| Authorized Official Contact | 7736004675 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Okons&o Medical Services Pllc 17070 Red Oak Dr Ste 403 Houston TX 77090-2609 Ph: (773) 600-4675 | Okons&o Medical Services Pllc 17070 Red Oak Dr Ste 403 Houston TX 77090-2609 Ph: (281) 836-5691 |
| NPI Number | 1003535881 |
|---|---|
| Provider Enumeration Date | 08/24/2022 |
| Last Update Date | 03/17/2024 |
| Medicare PECOS PAC ID | 3476922196 |
|---|---|
| Medicare Enrollment ID | O20221219002564 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003535881 | NPI | - | NPPES |
| 35061 | Other | OK | OK MEDICAL LICENSE |
| T4811 | Other | TX | TX MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207QG0300X | Family Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
| Provider Name | Nzube C Okonkwo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1154708022 PECOS PAC ID: 5991001471 Enrollment ID: I20190920000318 |
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