Individual
GREG NNAEMEKA OKEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11110 WOODMEADOW PKWY APT 312, DALLAS, TX 75228-8561
(708) 257-5076
Mailing address
11110 WOODMEADOW PKWY APT 312, DALLAS, TX 75228-8561
(708) 257-5076
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
312496
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
34302040
DRIVER LICENSE
TX
Enumeration date
02/19/2018
Last updated
02/19/2018
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