Individual
EJIKE NICHOLAS OKORO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5323 HARRY HINES BLVD, DALLAS, TX 75390-7201
(214) 590-8058
Mailing address
PO BOX 845347, DALLAS, TX 75284-5347
(214) 590-8058
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
Q3751
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/25/2012
Last updated
06/22/2016
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