Organization
JOHN OKEREKE MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OKEZIKA JOHN OKEREKE MD (PRESIDENT)
(956) 399-2920
Entity
Organization
Contact information
Practice address
1000 N DICK DOWLING ST, SAN BENITO, TX 78586-5222
(956) 399-2920
(956) 399-2940
Mailing address
PO BOX 4680, BROWNSVILLE, TX 78523-4680
(956) 399-2920
(956) 399-2940
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
K1599
TX
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
K1599
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
113307602
—
TX
Enumeration date
12/02/2015
Last updated
12/02/2015
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