Individual
MIRIAN CHIBUZO OKOYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1601 E DEBBIE LN STE 2109, MANSFIELD, TX 76063-4130
(817) 473-9125
(817) 473-9126
Mailing address
1601 E DEBBIE LN, MANSFIELD, TX 76063-3674
(972) 792-7300
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
U4888
TX
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
U4888
TX
Other
Enumeration date
04/09/2019
Last updated
10/02/2025
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