Organization
ST BENEDICTA HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHYLLIS OKOLO MD (MD)
(832) 344-3715
Entity
Organization
Contact information
Practice address
1717 TURNING BASIN DR STE 350, HOUSTON, TX 77029-4059
(832) 344-3715
(832) 831-8226
Mailing address
1717 TURNING BASIN DR STE 350, HOUSTON, TX 77029-4059
(832) 344-3715
(832) 831-8226
Taxonomy
Speciality
Code
Description
License number
State
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
09/03/2021
Last updated
09/07/2021
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