Individual
DR. OBINNA OKOYE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
700 SCOTT AND WHITE DR, COLLEGE STATION, TX 77845-6441
(979) 207-0100
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(800) 994-0371
(254) 215-9722
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125057315
IL
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
Q6777
TX
207RP1001X
Pulmonary Disease Physician
Q6777
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
357900501
—
TX
01
—
Q6777
MEDICAL LICENSE
TX
Enumeration date
08/09/2010
Last updated
01/08/2024
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